NPIMap

Organization Active NPI

Plymouth OB-GYN Associates Inc

  • Obstetrics & Gynecology Physician
  • Plymouth, MA
National Provider Identifier
1356324057
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
76977 Issued in MA
Legal business name
PLYMOUTH OB-GYN ASSOCIATES INC
Practice address
101 Long Pond Road
Suite 101
Plymouth, MA 02360
Phone
(508) 746-1434
Fax
(508) 746-2209
NPI assigned
Nov 28, 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
Dr. Julieann Corsini, MD
Title
President
Phone
(508) 746-1434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 76977 MA Primary

Addresses

Primary practice location

101 Long Pond Road
Suite 101
Plymouth, MA 02360

Mailing address

101 Long Pond Road
Suite 101
Plymouth, MA 02360
Phone (508) 746-1434

Other identifiers 1

IdentifierTypeStateIssuer
3119629MedicaidMA

National Provider Directory

National Provider Directory

Locations

101 Long Pond Rd
Ste 101
Plymouth, MA 02360
Phone (508) 746-1434

110 Long Pond Rd
Plymouth, MA 02360
Phone (508) 746-0521

110 Long Pond Rd
Ste 103
Plymouth, MA 02360
Phone (508) 746-1434

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356324057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LONG POND ROAD",
            "address_2": "SUITE 101",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-746-1434",
            "fax_number": "508-746-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LONG POND ROAD",
            "address_2": "SUITE 101",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-746-1434",
            "fax_number": "508-746-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH OB-GYN ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORSINI",
        "authorized_official_first_name": "JULIEANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-746-1434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "76977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3119629",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, 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.