Southcoast Physician Services, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHCOAST PHYSICIAN SERVICES, INC.

Practice address

106 Main St
Southcoast Physician Services, Inc Dba Wareham Surgical
Wareham, MA 02571-2122

Phone

(508) 295-3900

Fax

(508) 295-3271

NPI assigned

May 30, 2007

Organization subpart

Yes

Parent organization

SOUTHCOAST PHYSICIAN SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Rayford Kruger, MD

Title

President

Phone

(508) 295-3900

Specialties & licenses 1

Addresses

Other names 1

• Wareham Surgical Associates Doing business as

Part of

Jennifer S Levy D

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.

• Southcoast Physician Services Inc

  • Internal Medicine Physician
  • Fall River, MA
  • NPI 1104874874
  NPPES parent name

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1497956254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 FAUNCE CORNER RD",
            "address_2": "SOUTHCOAST PHYSICIAN SERVICES, INC.",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471271",
            "telephone_number": "508-985-2000",
            "fax_number": "508-985-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MAIN ST",
            "address_2": "SOUTHCOAST PHYSICIAN SERVICES, INC DBA WAREHAM SURGICAL",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712122",
            "telephone_number": "508-295-3900",
            "fax_number": "508-295-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCOAST PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHCOAST PHYSICIAN SERVICES, INC.",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "RAYFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-295-3900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wareham Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirsten Marie Sousa
• Southcoast Dental, PLLC
• Southcoast Hospitals Group Inc
• Southcoast Hospitals Group, Inc
• Southcoast Hospitals Group, Inc
• Southcoast Physicians Group, Inc.
• Southcoast Physicians Group, Inc.
• Laurence D Spector, M.D.
• Theodore A Spevack, D.O.
• Thomas Spiro, P.A.

• Surgery Physician in Wareham, MA
• Providers in Wareham, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.