Organization Active NPI

Woodbine, PC

  • Family Medicine Physician
  • Mashpee, MA
National Provider Identifier
1780800888
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51965 Issued in MA
Legal business name
WOODBINE, PC
Practice address
5 Industrial Dr
Mashpee, MA 02649-3464
Phone
(508) 477-4282
Fax
(508) 539-6134
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George J. Silva, MD
Title
Owner
Phone
(508) 477-4282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 51965 MA Primary

Addresses

Primary practice location

5 Industrial Dr
Mashpee, MA 02649-3464

Mailing address

5 Industrial Dr
Mashpee, MA 02649-3464
Phone (508) 477-4282

Other names 1

  • Mashpee Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

5 Industrial Dr
Ste 100
Mashpee, MA 02649
Phone (508) 477-4282

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780800888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 INDUSTRIAL DR",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493464",
            "telephone_number": "508-477-4282",
            "fax_number": "508-539-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 INDUSTRIAL DR",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493464",
            "telephone_number": "508-477-4282",
            "fax_number": "508-539-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-477-4282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "51965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mashpee Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mashpee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.