Individual provider Active NPI

Mary E. Sherlock, D.O.

  • Family Medicine Physician
  • Fall River, MA
National Provider Identifier
1700845237
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
228883 Issued in MA
Practice address
191 Bedford St
Fall River, MA 02720-3050
Phone
(508) 235-5445
Fax
(508) 235-5594
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 228883 MA Primary

Addresses

Primary practice location

191 Bedford St
Fall River, MA 02720-3050

Mailing address

191 Bedford St
Fall River, MA 02720-3050
Phone (508) 235-5445

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060929000321 MA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9931096229 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

101 Jeremiah V Sullivan Dr
Fall River, MA 02721-6812
Phone (508) 672-0107

1732 Gar Hwy
Swansea, MA 02777-3906
Phone (508) 379-0012

277 Pleasant St
Fall River, MA 02721-3005

289 Pleasant St
Fall River, MA 02721-3005

67 Slade'S Ferry Boulevard
Somerset, MA 02726-1220
Phone (508) 676-3292

Hospital & facility affiliations

  • Accentcare Home Health of Massachusetts Home health agency, Fall River, MA, CCN 227203
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228883MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Oct 1, 2013 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Prima Care, PC CurrentSince Oct 1, 2013 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

191 Bedford St
Fall River, MA 02720
Phone (508) 235-5445

277 Pleasant St
Ste 307
Fall River, MA 02721
Phone (508) 672-1560

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

Interoperability endpoints

  • Direct secure messaging: mary.sherlock@prima.eclinicaldirectplus.com

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.

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1700845237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 BEDFORD ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203050",
            "telephone_number": "508-235-5445",
            "fax_number": "508-235-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BEDFORD ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203050",
            "telephone_number": "508-235-5445",
            "fax_number": "508-235-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERLOCK",
        "first_name": "MARY",
        "middle_name": "E.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "228883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.