Organization Active NPI

Southeast Cardiology Associates, P.C.

  • Cardiovascular Disease Physician
  • Taunton, MA
National Provider Identifier
1588679153
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SOUTHEAST CARDIOLOGY ASSOCIATES, P.C.
Practice address
72 Washington St
Suite 1400
Taunton, MA 02780-2491
Phone
(508) 880-0077
Fax
(508) 880-5247
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sheri A Bankert, R.N.
Title
Office Manager
Phone
(508) 828-1542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

72 Washington St
Suite 1400
Taunton, MA 02780-2491

Mailing address

72 Washington St
Suite 1400
Taunton, MA 02780-2491
Phone (508) 880-0077

Other identifiers 5

IdentifierTypeStateIssuer
0013346OtherMANEIGHBORHOOD HEALTH
CL4606OtherMARAILROAD MEDICARE
SOM14400OtherMDBCBS MA GROUP NUMBER
717471OtherMATUFTS GROUP NO
9753974MedicaidMA

National Provider Directory

National Provider Directory

Locations

511 W Grove St
Ste 202
Middleboro, MA 02346
Phone (508) 947-7925

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588679153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 WASHINGTON ST",
            "address_2": "SUITE 1400",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802491",
            "telephone_number": "508-880-0077",
            "fax_number": "508-880-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 WASHINGTON ST",
            "address_2": "SUITE 1400",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802491",
            "telephone_number": "508-880-0077",
            "fax_number": "508-880-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST CARDIOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANKERT",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-828-1542",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0013346",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL4606",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA GROUP  NUMBER",
            "identifier": "SOM14400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP NO",
            "identifier": "717471",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9753974",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.