NPIMap

Organization Active NPI

South Shore Urology, Inc.

  • Specialist
  • South Weymouth, MA
National Provider Identifier
1962769190
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUTH SHORE UROLOGY, INC.
Practice address
780 Main St
Suite 2C
South Weymouth, MA 02190-1639
Phone
(781) 331-4600
Fax
(781) 337-5095
NPI assigned
Apr 12, 2012
Last updated
Apr 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Dr. William R. Helfrich Jr., M.D.NPI 1124017207
Title
President
Phone
(781) 331-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA Primary

Addresses

Primary practice location

780 Main St
Suite 2C
South Weymouth, MA 02190-1639

Mailing address

780 Main St
Suite 2C
South Weymouth, MA 02190-1639
Phone (781) 331-4600

Other identifiers 5

IdentifierTypeStateIssuer
36004OtherFALLON
5694099OtherCOVENTRY/FIRST HEALTH
9718672MedicaidMA
600135OtherTUFTS
M13172OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

780 Main St
Ste 2C
Weymouth, MA 02190
Phone (781) 331-4600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1962769190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 MAIN ST",
            "address_2": "SUITE 2C",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901639",
            "telephone_number": "781-331-4600",
            "fax_number": "781-337-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 MAIN ST",
            "address_2": "SUITE 2C",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901639",
            "telephone_number": "781-331-4600",
            "fax_number": "781-337-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE UROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "HELFRICH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-331-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "36004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY/FIRST HEALTH",
            "identifier": "5694099",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9718672",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "600135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M13172",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.