NPIMap

Individual provider Active NPI

Sharon Anne Macmillan, MD

  • Gynecology Physician
  • Agawam, MA
National Provider Identifier
1952369175
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
204995 Issued in MA
Practice address
200 Silver Street
Suite 214
Agawam, MA 01001
Phone
(413) 209-9394
Fax
(413) 209-8579
NPI assigned
May 4, 2006
Last updated
Sep 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 204995 MA
Gynecology Physician 207VG0400X 204995 MA Primary

Addresses

Primary practice location

200 Silver Street
Suite 214
Agawam, MA 01001

Mailing address

200 Silver Street
Suite 214
Agawam, MA 01001
Phone (413) 209-9394

Other identifiers 1

IdentifierTypeStateIssuer
0124061MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000254 MA Practitioner - Obstetrics/Gynecology 6901855691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Massachusetts Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Silver St
Unit 214
Agawam, MA 01001-3067
Phone (860) 752-8713

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
204995MAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Women's Health Care, PC Gynecology CurrentSince May 1, 2012 Accepting new patients
Mercy Inpatient Medical Associates Inc. Obstetrics & Gynecology PastSince Aug 17, 2020 Accepting new patients
Mwa, PC Past Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients
Diversified Community Services Obstetrics & Gynecology Past Accepting new patients

Locations

200 Silver St
Unit 214
Agawam, MA 01001
Phone (413) 209-9394

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4037/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sharon.macmillan.1@4037.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1952369175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SILVER STREET",
            "address_2": "SUITE 214",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "01001",
            "telephone_number": "413-209-9394",
            "fax_number": "413-209-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SILVER STREET",
            "address_2": "SUITE 214",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "01001",
            "telephone_number": "413-209-9394",
            "fax_number": "413-209-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMILLAN",
        "first_name": "SHARON",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "204995",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "204995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0124061",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Agawam, MA

Sources for this page

Verify at the official NPI Registry.