South End Skin Care, Inc.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

SOUTH END SKIN CARE, INC.

Practice address

321 Columbus Avenue
Suite 2R
Boston, MA 02116-5114

Phone

(857) 362-7330

Fax

(857) 362-7332

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Carl F. Schanbacher, M.D.

Title

President

Phone

(857) 362-7330

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• South End Dermatology and Skin Care, Inc. Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Lewis Goldfein, MD

  • Pediatrics Physician
  • Oak Bluff, MA
  • NPI 1942303334
  NPD (past)
• Bruce A Stelle, MD

  • Emergency Medicine Physician
  • Bourne, MA
  • NPI 1548238405
  NPD (past)
• Bill A. Tsikitas, M.D.

  • Internal Medicine Physician
  • South Weymouth, MA
  • NPI 1407827033
  NPD (past)
• Andrew A. Nelson, MD

  • Procedural Dermatology Physician
  • Saint Petersburg, FL
  • NPI 1548396260
  NPD (past)

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1376721167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 COLUMBUS AVENUE",
            "address_2": "SUITE 2R",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165114",
            "telephone_number": "857-362-7330",
            "fax_number": "857-362-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 COLUMBUS AVENUE",
            "address_2": "SUITE 2R",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165114",
            "telephone_number": "857-362-7330",
            "fax_number": "857-362-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH END SKIN CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "SCHANBACHER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "857-362-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0005608",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South End Dermatology and Skin Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Cove Manor, Inc
• South End Community Health Center
• South End Community Health Center Inc
• South End Community Health Center Inc
• South End Dental Associates
• South Shore Eye Care, P.C.
• Sharon Southard
• Darrius Southwell
• Elizabeth Southwick, RN
• Heather Southwick, PT

• Procedural Dermatology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Procedural Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.