Active NPI
Central Mass Dermatology PC
- Procedural Dermatology Physician
- Southbridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- Legal business name
- CENTRAL MASS DERMATOLOGY PC
- Practice address
- 222 Main Street
Southbridge, MA 01550-2593 - Phone
- (508) 765-7711
- Fax
- (508) 765-7713
- NPI assigned
- Sep 21, 2008
- Last updated
- Aug 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathryn E Swanson, FNP
- Title
- Owner
- Phone
- (508) 765-7711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 178544 | MA | |
| Procedural Dermatology Physician | 207NS0135X | Primary |
Addresses
Primary practice location
222 Main Street
Southbridge, MA 01550-2593
Mailing address
222 Main Street
Southbridge, MA 01550-2593
Phone (508) 765-7711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110081099A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9 Centennial Dr
Unit 202
Peabody, MA 01960
Phone (978) 209-9391
222 Main St
Southbridge, MA 01550
Phone (508) 764-2758
84 Myron St
West Springfield, MA 01089
Phone (203) 998-6678
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Nurse Practitioner
- Southbridge, MA
- NPI 1437216546
-
- Nurse Practitioner
- Southbridge, MA
- NPI 1235960683
-
- Family Nurse Practitioner
- Southbridge, MA
- NPI 1235680513
-
- Dermatology Physician
- Westford, MA
- NPI 1548251093
-
- Family Nurse Practitioner
- Bellingham, MA
- NPI 1811568975
-
- Dermatology Physician
- Auburn, MA
- NPI 1558354407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755129600000",
"number": "1730339284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 MAIN STREET",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015502593",
"telephone_number": "508-765-7711",
"fax_number": "508-765-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MAIN STREET",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015502593",
"telephone_number": "508-765-7711",
"fax_number": "508-765-7713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL MASS DERMATOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-21",
"last_updated": "2025-08-14",
"status": "A",
"authorized_official_last_name": "SWANSON",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-765-7711",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "178544",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110081099A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southbridge, MA
- Christine A Carey, M.D.
- Paul J Carey, MSW
- Karen A Carpenter, APRN,BC,FNP
- Judith Ann Carr, PT
- Daniel Ceballos
- Central Massachusetts Comprehensive Cancer Center LLC (Radiation Therapy Services at Central Massachusetts Cancer Center)
- Central Massachusetts Comprehensive Cancer Center, LLC (Radiation Therapy Services at Central Massachusetts Cancer Center)
- Karen Sue Chapman, CRNA
- Maria Charlton
- Samantha M Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.