Mayflower Medical Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MAYFLOWER MEDICAL ASSOCIATES PC

Practice address

45 Resnik Rd
Suite 202
Plymouth, MA 02360

Phone

(508) 746-0754

Fax

(508) 747-7867

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Eric E Johnson, MDNPI 1184610958

Title

President

Phone

(508) 746-0754

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

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.

• Ryan Patrick Brogan, NP

  • Family Nurse Practitioner
  • Plymouth, MA
  • NPI 1518476498
  Medicare reassignment Care Compare group NPD
• Sushil K Singh, M.D.

  • Cardiovascular Disease Physician
  • Plymouth, MA
  • NPI 1912955022
  Medicare reassignment Care Compare group NPD
• Eric E Johnson, MD

  • Cardiovascular Disease Physician
  • Plymouth, MA
  • NPI 1184610958
  NPD Authorized official

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1407950769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RESNIK RD",
            "address_2": "SUITE 202",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-746-0754",
            "fax_number": "508-747-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 RESNIK RD",
            "address_2": "SUITE 202",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-746-0754",
            "fax_number": "508-747-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-746-0754",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "683458",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "69586",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9786503",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M17333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Carey Matthiessen
• Stephanie Maurer
• Antonietta Mauri, MD
• Leslie Ann Maxwell, LICSW
• Laura Ann May
• Mayflower Mobility, Inc. (Mayflower Mobility)
• Laura May Mazzeo, NP-C
• Rebecca Lynn Mazzie
• Kathy McAdams
• Mary Beth McAdams

• Internal Medicine Physician in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.