South Shore Midwifery & Gynecology, LLC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN199200 Issued in MA

Legal business name

SOUTH SHORE MIDWIFERY & GYNECOLOGY, LLC

Practice address

2100 Washington St
Hanover, MA 02339-1657

Phone

(781) 871-7377

Fax

(781) 871-3996

NPI assigned

Oct 21, 2010

Organization subpart

No

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

Authorized official

Name

Agnes G Densmore, CNM

Title

Owner

Phone

(781) 871-7377

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1720388952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391657",
            "telephone_number": "781-871-7377",
            "fax_number": "781-871-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391657",
            "telephone_number": "781-871-7377",
            "fax_number": "781-871-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE MIDWIFERY & GYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "DENSMORE",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-871-7377",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "RN199200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Shore Counseling and Assessment
• South Shore Homecare Solutions LTD
• South Shore Integrated Health PC
• South Shore MDS, LLC
• South Shore Midwifery
• South Shore OB-GYN Hanover OB-GYN Inc
• South Shore Primary and Urgent Care LLC
• South Shore Regional Voc TCH School
• Elizabeth Taleas Southall, LICSW
• Robert Spitz

• Advanced Practice Midwife in Hanover, MA
• Providers in Hanover, MA by specialty
• Advanced Practice Midwife in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.