Active NPI
Susan E Shawver-Matthews, MD
- Pediatrics Physician
- Westborough, MA
National Provider Identifier
1770544751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 48564
- Practice address
- 106 E Main St
Westborough, MA 01581-1417 - Phone
- (508) 898-2338
- Fax
- (508) 366-9938
- NPI assigned
- Mar 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 48564 | MA | Primary |
Addresses
Primary practice location
106 E Main St
Westborough, MA 01581-1417
Mailing address
630 Plantation St
Worcester, MA 01605-2038
Phone (508) 898-2338
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042472266 | Other | THREE RIVERS | |
| B28053 | Other | BLUE SHIELD INDEMNITY | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 5621538 | Other | CIGNA HEALTH PLAN | |
| 784190 | Other | MVP HEALTH CARE | |
| B28053 | Other | BLUE CARE ELECT | |
| 0186457 | Other | MEDICAID WELFARE | |
| 2039843 | Other | FIRST HEALTH | |
| B28053 | Other | MEDICARE B | |
| 9900092 | Other | FALLON COMMUNITY HEALTH | |
| 042472266 | Other | HEALTHCARE VALUE MGMT | |
| 27058 | Other | HEALTHY START | |
| 7503630 | Other | AETNA US HEALTHCARE | |
| 0186457 | Medicaid | MA | |
| AA1255 | Other | HARVARD PILGRIM HEALTH | |
| B28053 | Other | BLUE SHIELD HMO BLUE | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 27058 | Other | CHILDRENS MEDICAL SECURIT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48564 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235520000000",
"number": "1770544751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052038",
"telephone_number": "508-898-2338",
"fax_number": "508-366-9938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 E MAIN ST",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811417",
"telephone_number": "508-898-2338",
"fax_number": "508-366-9938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAWVER-MATTHEWS",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2009-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "48564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDEMNITY",
"identifier": "B28053",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "5621538",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "784190",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "B28053",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WELFARE",
"identifier": "0186457",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2039843",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "B28053",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "9900092",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MGMT",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START",
"identifier": "27058",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "7503630",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0186457",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "AA1255",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HMO BLUE",
"identifier": "B28053",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MEDICAL SECURIT",
"identifier": "27058",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.