Organization Active NPI

Southcoast Womans Care PC

  • Obstetrics & Gynecology Physician
  • Fall River, MA
National Provider Identifier
1942216494
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
72991 Issued in MA
Legal business name
SOUTHCOAST WOMANS CARE PC
Practice address
300 Hanover St
Ste 1E
Fall River, MA 02720-5444
Phone
(508) 679-7770
Fax
(508) 679-7786
NPI assigned
Aug 1, 2006
Last updated
Oct 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Dr. Michelle Laura Hughes, M.D.NPI 1134135759
Title
Physician
Phone
(508) 679-7770

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
Obstetrics & Gynecology Physician 207V00000X 72991 MA Primary

Addresses

Primary practice location

300 Hanover St
Ste 1E
Fall River, MA 02720-5444

Mailing address

300 Hanover St
Ste 1E
Fall River, MA 02720-5444
Phone (508) 679-7770

Other identifiers 4

IdentifierTypeStateIssuer
625182OtherMATUFTS
M18916OtherMABCBS MA
3064506MedicaidMA
9750801MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050321000259 MA Part B Supplier - Clinic/Group Practice 7214982529 Receives reassigned benefits from 2 practitioners
Practice locations: Fall River, MA

National Provider Directory

National Provider Directory

Locations

300 Hanover St
Ste 1E
Fall River, MA 02720
Phone (508) 679-7372

300 Hanover St
Ste 3A
Fall River, MA 02720
Phone (508) 679-7762

Practitioners & affiliated clinicians

Practitioners 3

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1942216494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HANOVER ST",
            "address_2": "STE 1E",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205444",
            "telephone_number": "508-679-7770",
            "fax_number": "508-679-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HANOVER ST",
            "address_2": "STE 1E",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205444",
            "telephone_number": "508-679-7770",
            "fax_number": "508-679-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCOAST WOMANS CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "508-679-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "72991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "625182",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "M18916",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3064506",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9750801",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.