West Suburban Gi PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

WEST SUBURBAN GI PC

Practice address

28 Newton St
Southborough, MA 01772-1215

Phone

(508) 281-0600

NPI assigned

May 26, 2021

Organization subpart

No

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

Authorized official

Name

Michael O'Sullivan

Title

Business Manager

Phone

(603) 496-2895

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 5

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

• Daniel G Donahue, MD

  • Gastroenterology Physician
  • Milford, MA
  • NPI 1790888360
  Medicare reassignment NPD
• Dmitry Finkelberg, M.D.

  • Gastroenterology Physician
  • Worcester, MA
  • NPI 1134326218
  Medicare reassignment NPD
• Carla Patricia Dupont, PA-C

  • Physician Assistant
  • Cambridge, MA
  • NPI 1053489096
  Medicare reassignment
• Vera Hernandez-Holmes, PA-C, RD

  • Medical Physician Assistant
  • Milford, MA
  • NPI 1023299864
  Medicare reassignment
• Megan Elizabeth Walsh, PA-C

  • Physician Assistant
  • Worcester, MA
  • NPI 1588137186
  Medicare reassignment

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1760057319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 NEWTON ST",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721215",
            "telephone_number": "508-281-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 NEWTON ST",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721215",
            "telephone_number": "508-281-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN GI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "O'SULLIVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "603-496-2895"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maura Matthews Walsh, CRNA
• Xunli Wang
• Salisha Weaver
• Victoria Weisser
• Christine Wertz, APRN
• Alyssa Wetmore
• Kathleen White
• Samuel Milton White, OD
• Joshua Lucas Whitney
• Laura Wilhelm

• Gastroenterology Physician in Southborough, MA
• Providers in Southborough, MA by specialty
• Gastroenterology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.

Verify at the official NPI Registry.