Individual provider Active NPI

Molly Margaret Shipman, D.O.

  • Obstetrics & Gynecology Physician
  • Waterbury, CT
National Provider Identifier
1518129741
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
050352 Issued in CT
Practice address
60 Westwood Ave
Suite 100
Waterbury, CT 06708-2460
Phone
(203) 573-1425
Fax
(203) 573-1425
NPI assigned
Jun 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 62770 NY
Obstetrics & Gynecology Physician 207V00000X 050352 CT Primary

Addresses

Primary practice location

60 Westwood Ave
Suite 100
Waterbury, CT 06708-2460

Mailing address

60 Westwood Ave
Suite 100
Waterbury, CT 06708-2460
Phone (203) 573-1425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120918000192 CT Practitioner - Obstetrics/Gynecology 6507014537 Reassigns benefits to 2 organizations
I20260623003605 WA Practitioner - Emergency Medicine 6507014537

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women's Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

1178 Silas Deane Hwy
Suite 3
Wethersfield, CT 06109-4340
Phone (860) 633-8550

35 Nod Rd
203 Woodland Womens Health Asscociates
Avon, CT 06001-3826
Phone (860) 409-1540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
050352CTMDObstetrics & Gynecology Physician
62770NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Obstetrics & Gynecology CurrentSince Feb 18, 2018 Accepting new patients
Physicians for Women's Health LLC Obstetrics & Gynecology CurrentSince Aug 15, 2012 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Feb 18, 2018 Accepting new patients

Locations

35 Nod Rd
Ste 203
Avon, CT 06001
Phone (860) 409-1540

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

19 Woodland St
Ste 31
Hartford, CT 06105
Phone (860) 714-4680

60 Westwood Ave
Ste 100
Waterbury, CT 06708
Phone (203) 573-1425

Interoperability endpoints

  • Direct secure messaging: molly.shipman.2@10170.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1518129741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WESTWOOD AVE",
            "address_2": "SUITE 100",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082460",
            "telephone_number": "203-573-1425",
            "fax_number": "203-573-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WESTWOOD AVE",
            "address_2": "SUITE 100",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082460",
            "telephone_number": "203-573-1425",
            "fax_number": "203-573-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "MOLLY",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-29",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "62770",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "050352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.