NPIMap

Organization Active NPI

Wellesley Women's Care, PC

  • Obstetrics & Gynecology Physician
  • Newton, MA
National Provider Identifier
1497817621
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WELLESLEY WOMEN'S CARE, PC
Practice address
2000 Washington Street
Suite 764
Newton, MA 02462-1628
Phone
(617) 965-7800
Fax
(617) 965-4581
NPI assigned
Dec 14, 2006
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Thomas L Beatty, M.D.NPI 1689658379
Title
President
Phone
(617) 965-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2000 Washington Street
Suite 764
Newton, MA 02462-1628

Mailing address

2000 Washington Street
Suite 764
Newton, MA 02462-1628
Phone (617) 965-7800

Other identifiers 3

IdentifierTypeStateIssuer
469742OtherMAAETNA USHEALTHCARE
9701061MedicaidMA
M15738OtherMABC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050706000186 MA Part B Supplier - Clinic/Group Practice 2264478874 Receives reassigned benefits from 8 practitioners
Practice locations: Newton, MA

National Provider Directory

National Provider Directory

Locations

2000 Washington St
Ste 764
Newton Lower Falls, MA 02462
Phone (617) 965-7800

9 Hope Ave
Ste 151
Waltham, MA 02453
Phone (781) 431-0060

Interoperability endpoints

  • Direct secure messaging: thieu.hong-thao.wwcare@direct.partners.masshiway.net
  • Direct secure messaging: johnson.katherine.wwcare@direct.partners.masshiway.net
  • Direct secure messaging: greiger.afarin.wwcare@direct.partners.masshiway.net
  • Direct secure messaging: dolloff.ann.wwcare@direct.partners.masshiway.net
  • Direct secure messaging: konig.elizabeth.wwcare@direct.partners.masshiway.net
  • Direct secure messaging: beatty.thomas.wwcare@direct.partners.masshiway.net
  • Direct secure messaging: simmons.virginia.wwcare@direct.partners.masshiway.net
  • Direct secure messaging: devries.karie.wwcare@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 12

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1497817621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON STREET",
            "address_2": "SUITE 764",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621628",
            "telephone_number": "617-965-7800",
            "fax_number": "617-965-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON STREET",
            "address_2": "SUITE 764",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621628",
            "telephone_number": "617-965-7800",
            "fax_number": "617-965-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLESLEY WOMEN'S CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-965-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHEALTHCARE",
            "identifier": "469742",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9701061",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "M15738",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

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