SOUTHBRIDGE OB GYN ASSOC
NPI 1245393305
Obstetrics & Gynecology in Southbridge, MA
NPI Status: Active since December 19, 2006
Contact Information
100 SOUTH ST
STE G05
SOUTHBRIDGE, MA
ZIP 01550
Phone: (508) 765-5981
- Organization
- Obstetrics & Gynecology
- CLIA Number: 22D2201412
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 11-19-2026
About SOUTHBRIDGE OB GYN ASSOC
This page provides the complete NPI Profile along with additional information for Southbridge Ob Gyn Assoc, a women's health care provider established in Southbridge, Massachusetts operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1245393305 assigned on December 2006. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Melissa Ann Johnson Md (Physician)
- NPI
- 1245393305
- Provider Name
- SOUTHBRIDGE OB GYN ASSOC
- Entity Type
- Organization
- Location Address
- 100 SOUTH ST STE G05 SOUTHBRIDGE, MA 01550
- Location Phone
- (508) 765-5981
- Mailing Address
- 100 SOUTH ST STE G05 SOUTHBRIDGE, MA 01550
- Mailing Phone
- (508) 765-5981
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-19-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Women's health care providers like Southbridge Ob Gyn Assoc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9763236 | MEDICAID (05) | MA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D2201412
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- November 20, 2024
- Certificate Expiration Date
- November 19, 2026
- Laboratory Director
- KARIN J. CHECKA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southbridge Ob Gyn Assoc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 3 | 9 | 3 | 3 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 6 | 9 | 6 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 6 + 9 + 6 + 3 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1245393305 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720089063 | DR. JOHN MICHAEL TUMOLO M.D. Individual | Internal Medicine (Cardiovascular Disease) | 100 SOUTH ST SUITE 104 SOUTHBRIDGE, MA 01550 (508) 765-0636 |
| 1598759334 | DR. MARK J SIMONELLI M.D. Individual | Obstetrics & Gynecology | 100 SOUTH ST SUITE G05 SOUTHBRIDGE, MA 01550 (508) 765-5981 |
| 1497741680 | JILL ROBIN SISKIND APRN Individual | Nurse Practitioner (Acute Care) | 100 SOUTH ST SOUTHBRIDGE, MA 01550 (508) 765-9771 |
| 1740277813 | DR. CHRISTINE A CAREY M.D. Individual | Obstetrics & Gynecology | 100 SOUTH ST SUITE G05 SOUTHBRIDGE, MA 01550 (508) 765-5981 |
| 1225029895 | DR. KATHLEEN MARY FINN D.O. Individual | Emergency Medicine | 100 SOUTH ST SOUTHBRIDGE, MA 01550 (508) 765-9771 |
| 1205819109 | DR. ELIAS BELEZOS M.D. Individual | Internal Medicine | 100 SOUTH ST SOUTHBRIDGE, MA 01550 (508) 765-9771 |
| 1750350575 | PRAVEEN B GULATI MD Individual | Radiology (Nuclear Radiology) | 100 SOUTH ST SOUTHBRIDGE, MA 01550 (508) 765-9771 |
| 1972572329 | ABHIJIT ROYCHOWDHURY MD Individual | Radiology (Nuclear Radiology) | 100 SOUTH ST SOUTHBRIDGE, MA 01550 (508) 765-9771 |
| 1235193889 | ROBERT J GIORDANO MD Individual | Pediatrics (Adolescent Medicine) | 100 SOUTH ST SUITE 205 SOUTHBRIDGE, MA 01550 (508) 765-0934 |
| 1972568061 | DR. MICHAEL P. GAUDET M.D. Individual | Emergency Medicine | 100 SOUTH ST SOUTHBRIDGE, MA 01550 (508) 765-9771 |
| 1528026622 | DR. ISSAM A ONEYSSI M.D. Individual | Internal Medicine | 100 SOUTH ST SOUTHBRIDGE, MA 01550 (508) 765-9771 |
| 1891739900 | DR. PAMELA ANNE WILSON D.O. FACOP Individual | Pediatrics | 100 SOUTH ST MEDICAL ARTS BUILDING, STE 207 SOUTHBRIDGE, MA 01550 (508) 765-9700 |
| 1043246978 | DR. WILLIAM FRANCIS DUNN D.O. Individual | Internal Medicine | 100 SOUTH ST SUITE G08 SOUTHBRIDGE, MA 01550 (508) 764-2620 |
| 1265469076 | DR. DONALD JOSEPH GENTILE Individual | Specialist | 100 SOUTH ST MEDICAL ARTS BUILDING SUITE 208 SOUTHBRIDGE, MA 01550 (508) 764-6356 |
| 1043240070 | CAITLIN ANN MELIA RD Individual | Dietitian, Registered | 100 SOUTH ST HARRINGTON HOSPITAL SOUTHBRIDGE, MA 01550 (508) 765-9771 |
| 1891713160 | ALAN RICHARD ANDERSON C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 100 SOUTH ST SOUTHBRIDGE, MA 01550 (508) 765-9771 |
| 1447264270 | KEITH R HILLIKER MD Individual | Emergency Medicine (Emergency Medical Services) | 100 SOUTH ST SOUTHBRIDGE, MA 01550 (508) 765-9771 |
| 1013923101 | DR. CARL JOHN VANDERPUTTEN DO Individual | Emergency Medicine | 100 SOUTH ST HARRINGTON MEMORIAL HOSPITAL SOUTHBRIDGE, MA 01550 (508) 765-9771 |
| 1366458457 | MS. CYNTHIA MAE WILSON GRILLO DO Individual | Pediatrics | 100 SOUTH ST SUITE 102 SOUTHBRIDGE, MA 01550 (508) 764-3194 |
| 1730196205 | ARTHUR ROBERT RUSSO MD Individual | Internal Medicine | 100 SOUTH ST SOUTHBRIDGE, MA 01550 (508) 765-9771 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245393305, enumerated in the NPI registry as an "organization" on December 19, 2006
The provider is located at 100 South St Ste G05 Southbridge, Ma 01550 and the phone number is (508) 765-5981
This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 22D2201412 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.