Active NPI
Russell Atkin, MD
- Obstetrics & Gynecology Physician
- Duxbury, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 245106
- Practice address
- 95 Tremont St
Suite 10
Duxbury, MA 02332-4738 - Phone
- (781) 934-7592
- NPI assigned
- Jun 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 245106 | MA | Primary |
Addresses
Primary practice location
95 Tremont St
Suite 10
Duxbury, MA 02332-4738
Mailing address
36 Cordage Park Cir
Suite 317
Plymouth, MA 02360-7331
Phone (508) 830-2082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000
46 Obery St
Plymouth, MA 02360-2237
Phone (508) 210-5920
95 Tremont St
Duxbury, MA 02332-4738
Phone (781) 934-9532
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Physician Associates, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Jordan Physician Associates, Inc. | Current | Accepting new patients | |
| Beth Israel Deaconess Hospital Plymouth, Inc. | Past | Accepting new patients |
Locations
95 Tremont St
Ste 10
Duxbury, MA 02332
Phone (781) 934-0060
95 Tremont St
Ste 5
Duxbury, MA 02332
Phone (781) 934-7292
95 Tremont St
Duxbury, MA 02332
Phone (781) 934-0060
275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000
46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920
36 Cordage Park Cir
Ste 317
Plymouth, MA 02360
Interoperability endpoints
- ratkin255184@direct.bilh.masshiway.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Plymouth, MA
- NPI 1538145131
Obstetrics & Gynecology
-
dba BIDH-Plymouth Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Plymouth, MA
- NPI 1194263186
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1871729178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 CORDAGE PARK CIR",
"address_2": "SUITE 317",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023607331",
"telephone_number": "508-830-2082",
"fax_number": "508-830-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 TREMONT ST",
"address_2": "SUITE 10",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023324738",
"telephone_number": "781-934-7592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKIN",
"first_name": "RUSSELL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-02",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "245106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duxbury, MA
- Megan Elizabeth Armstrong, OTR/L
- Amy Ferson Asbedian, D.M.D.
- Erina Marie Asnes, PTA
- Katina Maria Athanas, PMHNP-BC
- Kathryn Atkin, NP
- Alison Austin, D.C.
- Victoria Penelope Aviles Solis, D.C.
- Bane Bay Path, LLC (Bay Path at Duxbury Nursing and Rehabilitation Center)
- Kathleen A.L. Barber, LMHC
- Bruce Edward Barrett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.