Medford OBGYN Associates Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

24674 Issued in MA

Legal business name

MEDFORD OBGYN ASSOCIATES INC

Practice address

390 Highland Ave
Winchester, MA 01890-3147

Phone

(781) 729-9456

Fax

(781) 729-9456

NPI assigned

Jan 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rosario A. Scandura, M.D.

Title

Plan Administrator

Phone

(781) 729-9456

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1386700417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 HIGHLAND AVE",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018903147",
            "telephone_number": "781-729-9456",
            "fax_number": "781-729-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 HIGHLAND AVE",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018903147",
            "telephone_number": "781-729-9456",
            "fax_number": "781-729-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD OBGYN ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "SCANDURA",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PLAN ADMINISTRATOR",
        "authorized_official_telephone_number": "781-729-9456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "24674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NUMBERS",
            "identifier": "130724",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9709355",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheena McKie, L.I.C.S.W
• Madison McLaughlin
• Karen Anne McLeavey, R.N. CNP
• Kim McNamara, LICSW
• Med Win Inc
• Robert Mehanna, DMD CAGS
• Joseph Mercurio, ACNPC-AG
• Barbara A Messineo, M.D.
• Michael C Zaslow, M.D. P.C.
• Michael W. Marcus, M.D., P.C.

• Specialist in Winchester, MA
• Providers in Winchester, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.