Individual provider Active NPI

Mary Hogan-Donaldson, CNM

  • Advanced Practice Midwife
  • S Weymouth, MA
National Provider Identifier
1538213699
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
156545 Issued in MA
Practice address
90 Libbey Parkway
Suite 105
S Weymouth, MA 02189
Phone
(339) 201-4120
Fax
(781) 545-8117
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 156545 MA Primary

Addresses

Primary practice location

90 Libbey Parkway
Suite 105
S Weymouth, MA 02189

Mailing address

90 Libbey Pkwy
Suite 105
East Weymouth, MA 02189-3129
Phone (339) 201-4120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060501000238 MA Practitioner - Certified Nurse Midwife (CNM) 1456361864 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
156545MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Associates CurrentSince Apr 21, 2013 Accepting new patients
South Shore Medical Center, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients
Martha'S Vineyard Hospital Advanced Practice Midwife Past Accepting new patients

Locations

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

55 Fogg Rd
#81
Weymouth, MA 02190

90 Libbey Park
Ste 105
Weymouth, MA 02189
Phone (339) 201-4120

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

51 Performance Dr
Weymouth, MA 02189
Phone (781) 337-5555

51 Performance Dr
Ste 110
Weymouth, MA 02189
Phone (781) 337-9091

55 Fogg Rd
#85
Weymouth, MA 02190

689 Bedford St
Whitman, MA 02382
Phone (781) 447-4001

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1538213699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LIBBEY PKWY",
            "address_2": "SUITE 105",
            "city": "EAST WEYMOUTH",
            "state": "MA",
            "postal_code": "021893129",
            "telephone_number": "339-201-4120",
            "fax_number": "781-545-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LIBBEY PARKWAY",
            "address_2": "SUITE 105",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "02189",
            "telephone_number": "339-201-4120",
            "fax_number": "781-545-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN-DONALDSON",
        "first_name": "MARY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "156545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Weymouth, MA

Sources for this page

Verify at the official NPI Registry.