Southcoast Physicians Group, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SOUTHCOAST PHYSICIANS GROUP, INC.

Practice address

1601 S Main St
Fall River, MA 02724-2107

Phone

(508) 678-0004

Fax

(508) 678-6970

NPI assigned

Jan 7, 2014

Last updated

Jan 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy Zizzo

Title

Director, Cbo

Phone

(508) 973-2044

Specialties & licenses 1

Addresses

Other names 1

• Urology, Fall River Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1871915090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "address_2": "SUITE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242107",
            "telephone_number": "508-678-0004",
            "fax_number": "508-678-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCOAST PHYSICIANS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "ZIZZO",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "DIRECTOR, CBO",
        "authorized_official_telephone_number": "508-973-2044"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology, Fall River",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southcoast Hospitals Group, Inc
• Southcoast Hospitals Group,Inc
• Southcoast Physician Services Inc (Truesdale Medical Specialties Associates)
• Southcoast Physicians Group, Inc.
• Southcoast Physicians Group, Inc.
• Southcoast Womans Care PC
• Southeast Center for Independent Living
• Southeast Management Services LLC (Southeast Rehabilitation Associates PC)
• Southeast Mass. Pathology, P.C.
• Southeast Rehabilitation Associates, P.C.

• Urology Physician in Fall River, MA
• Providers in Fall River, MA by specialty
• Urology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.