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

Last updated

Oct 21, 2010By the provider in NPPES

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, CNMNPI 1033260252

Title

Owner

Phone

(781) 871-7377

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Agnes Geralyn Densmore, CNM

  • Midwife
  • Hanover, MA
  • NPI 1033260252
  Authorized official Same address or phone

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.