NPIMap

Organization Active NPI

Southcoast Dermalgraphics, LLC

  • Medical Art Specialist/Technologist
  • Acushnet, MA
National Provider Identifier
1851779144
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X
Legal business name
SOUTHCOAST DERMALGRAPHICS, LLC
Practice address
192 B South Main St
Acushnet, MA 02743
Phone
(508) 817-7026
NPI assigned
May 7, 2015
Last updated
May 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Patricia A Workman, RNNPI 1285012286
Title
Owner
Phone
(508) 789-5104

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Art Specialist/Technologist 246ZA2600X Primary

Addresses

Primary practice location

192 B South Main St
Acushnet, MA 02743

Mailing address

PO Box 30165
Acushnet, MA 02743-0165
Phone (508) 817-7026

National Provider Directory

National Provider Directory

Locations

192 S Main St
Unit B
Acushnet, MA 02743
Phone (508) 789-5104

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1851779144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30165",
            "city": "ACUSHNET",
            "state": "MA",
            "postal_code": "027430165",
            "telephone_number": "508-817-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 B SOUTH MAIN ST",
            "city": "ACUSHNET",
            "state": "MA",
            "postal_code": "02743",
            "telephone_number": "508-817-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCOAST DERMALGRAPHICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-789-5104",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acushnet, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.