Southcoast Physicians Group, Inc.
Organization Active NPI Sleep Medicine (Internal Medicine) Physician · North Dartmouth, MA
NPI 1760892178 · NPPES record last updated May 9, 2014
Key facts
- NPI
- 1760892178
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sleep Medicine (Internal Medicine) Physician 207RS0012X
- Legal business name
- SOUTHCOAST PHYSICIANS GROUP, INC.
- Practice address
- 370 Faunce Corner Rd
North Dartmouth, MA 02747-1271 - Phone
- (508) 990-1408
- NPI assigned
- May 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Tammy Zizzo
- Title
- Cbo Director
- Phone
- (508) 973-2044
Member of 1
Practitioners 55
-
Essam R. Awad, MD
-
M. Wajid Baig, MD
-
Matthew S Baltz, MD
-
John C Carroll, MD
-
Tina Lee Charest, M.D.
-
David S Chesney, MD
-
Donald A. Colacchio, M.D.
-
Carlos A Correia, MD
-
Joseph A Costa, DO
-
Patrick J Curran, M.D.
-
Renee F Dacosta, NP
-
Mary Dealy, NP
-
Jason J Diogo, MD
-
Meaghan A Dugan, AUD, CCC-A
-
Cheryl Hoffman, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2237888 | Southcoast Physicians Group | Certificate of waiver | Sep 28, 2027 |
National Provider Directory
Locations
370 Faunce Corner Rd
Fl 2
North Dartmouth, MA 02747
Phone (508) 998-3041
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician |
207RS0012X | Yes |
Addresses
Primary practice location
370 Faunce Corner Rd
North Dartmouth, MA 02747-1271
Mailing address
200 Mill Rd
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000
Other names
- Sleep Center
Other providers in North Dartmouth, MA
- South Coast Orthopedic Technologies, Inc.
- Southcoast Eye Care, Inc
- Southcoast Optical Shop, Inc.
- Southcoast Physicians Group, Inc.
- Southcoast Physicians Group, Inc.
- Southcoast Physicians Group, Inc.
- Jauna Lee Souza
- Sarah Melissa Souza
- Arielle Spadea
- Tyler Anne Sparling
All providers in North Dartmouth, MA · Sleep Medicine (Internal Medicine) Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.