South Shore Skin Center

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SOUTH SHORE SKIN CENTER

Doing business as

South Shore Skin Center

Practice address

75 Washington St
Norwell, MA 02061-1795

Phone

(781) 878-6495

Fax

(781) 878-6524

NPI assigned

Mar 29, 2016

Last updated

Mar 29, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTH SHORE SKIN CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Richard F Eisen, M.D.NPI 1992700728

Title

Authorized Official

Phone

(508) 747-0711

Specialties & licenses 1

Addresses

Other names 1

• South Shore Skin Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

South Shore Skin Center

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• South Shore Skin Center, LLC

  • Specialist
  • Plymouth, MA
  • NPI 1790763159
  NPPES parent name

Practitioners 2

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.

• Richard Franklin Eisen, MD

  • Dermatology Physician
  • Boston, MA
  • NPI 1992700728
  NPD Authorized official
• Ramzi William Saad, MD

  • Dermatology Physician
  • Plymouth, MA
  • NPI 1508862467
  NPD

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1366805335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCOBEE CIR",
            "address_2": "UNIT 3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604887",
            "telephone_number": "508-747-0711",
            "fax_number": "508-747-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611795",
            "telephone_number": "781-878-6495",
            "fax_number": "781-878-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE SKIN CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH SHORE SKIN CENTER, LLC",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "EISEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "508-747-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Skin Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Shore Medical Center, Inc
• South Shore Medical Center, Inc
• South Shore Medical Center, Inc
• South Shore Medical Center, Inc
• South Shore Medical Center, Inc.
• South Shore Young Men's Christian Association
• Southwood at Norwell Nursing Center
• Vanessa Souza
• Nicholas P Sowles, DMD
• Spark the Change, LLC

• Dermatology Physician in Norwell, MA
• Providers in Norwell, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.