Steward Good Samaritan Medical Center, Inc.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

2311 Issued in MA

Legal business name

STEWARD GOOD SAMARITAN MEDICAL CENTER, INC.

Practice address

235 N Pearl St
Brockton, MA 02301-1794

Phone

(508) 427-2841

NPI assigned

Jan 10, 2018

Last updated

Jan 10, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

STEWARD HEALTH CARE SYSTEM LLCAs reported in NPPES

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

Authorized official

Name

Paula A Wyman

Title

Corp Director of Reimbursement

Phone

(781) 375-3308

Specialties & licenses 2

Addresses

Other names 1

• Good Samaritan Hospital Behavioral Medicine Other name

Locations

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.

• Brian B Bloom, MD

  • Internal Medicine Physician
  • Stoughton, MA
  • NPI 1164403580
  NPD (past)

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1922516053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PERWAL ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901928",
            "telephone_number": "781-375-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "508-427-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARD GOOD SAMARITAN MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEWARD HEALTH CARE SYSTEM LLC",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "WYMAN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CORP DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "781-375-3308"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "2311",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Hospital Behavioral Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Loupu Stevens
• Luke Addison Stevens
• Nicola S Stevens
• Steward Good Samaritan Medical Center, Inc.
• Steward Good Samaritan Medical Center, Inc.
• Steward Good Samaritan Radiation Oncology Center, Inc.
• Steward Medical Group, Inc
• Steward Pet Imaging, L.L.C. (Steward PET Imaging, LLC at Good Samaritan Medical Center)
• Catherine Monica Stewart, LICSW
• Daniel Robert Stewart, MA

• General Acute Care Hospital in Brockton, MA
• Providers in Brockton, MA by specialty
• General Acute Care Hospital in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.