Cape Gynecology, LLC
Organization Active NPI Gynecology Physician · Brewster, MA
NPI 1982789772 · NPPES record last updated Mar 10, 2014
Key facts
- NPI
- 1982789772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gynecology Physician 207VG0400X
- Legal business name
- CAPE GYNECOLOGY, LLC
- Practice address
- 19 Bay State CT
Brewster, MA 02631-2120 - Phone
- (508) 255-2325
- Fax
- (508) 255-0015
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Keith W McAteer, M.D.
- Title
- Member
- Phone
- (508) 255-2325
Practitioners 6
-
Jaymie Adachi, FNP
-
Barbara M Gleason, D.O.
-
Linda Tomaselli Dorflinger, NP, CNM
-
Keith McAteer, M.D.
-
Kathleen A Kerrigan, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0081185 | Cape Gynecology LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050607000827 | MA | Part B Supplier - Clinic/Group Practice | 2062455397 |
Receives reassigned benefits from 5 practitioners Practice locations: Brewster, MA |
National Provider Directory
Locations
19 Bay State Ct
Brewster, MA 02631
Phone (508) 255-2325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician |
207VG0400X | Yes |
Addresses
Primary practice location
19 Bay State CT
Brewster, MA 02631-2120
Mailing address
19 Bay State CT
Brewster, MA 02631-2120
Phone (508) 255-2325
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M17351 | Other | MA | BLUE CROSS BLUE SHIELD |
| 667845 | Other | MA | TUFTS HEALTH PLAN |
| 9786066 | Medicaid | MA |
Other providers in Brewster, MA
- Judy Canesi
- Cape at Home Care
- Cape Cardiology MD PC
- Cape Cod Operator LLC
- Cape Cod Sea Camps Inc
- Paula Anne Cardaleen
- Elizabeth Carns
- Melissa A Carter
- Ann Patricia Condon
- Jill A Congdon
All providers in Brewster, MA · Gynecology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.