Organization Active NPI

Metrosouth Obstetrics & Gynecology, Inc.

  • Obstetrics & Gynecology Physician
  • Whitman, MA
National Provider Identifier
1346241098
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
METROSOUTH OBSTETRICS & GYNECOLOGY, INC.
Practice address
689 Bedford St
Whitman, MA 02382-1807
Phone
(781) 447-4001
Fax
(781) 447-4025
NPI assigned
Aug 3, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph A. Cahill
Title
Treasurer
Phone
(781) 340-4293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

689 Bedford St
Whitman, MA 02382-1807

Mailing address

689 Bedford St
Whitman, MA 02382-1807
Phone (781) 447-4001

Other identifiers 1

IdentifierTypeStateIssuer
9714651MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346241098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 BEDFORD ST",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023821807",
            "telephone_number": "781-447-4001",
            "fax_number": "781-447-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 BEDFORD ST",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023821807",
            "telephone_number": "781-447-4001",
            "fax_number": "781-447-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROSOUTH OBSTETRICS & GYNECOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-340-4293"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9714651",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitman, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.