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SOUTH SUBURBAN GASTROENTEROLOGY, PC
NPI 1114948478
Internal Medicine - Gastroenterology in South Weymouth, MA

Active since July 22, 2006CLIA 22D0969576 · Accreditation
1085 MAIN ST, SOUTH WEYMOUTH, MA 02190(781) 331-2922(781) 335-5702 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Suburban Gastroenterology, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH SUBURBAN GASTROENTEROLOGY, PC (NPI 1114948478) is a healthcare organization registered as a gastroenterology in South Weymouth, Massachusetts and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through February 11, 2028 and lists Mary Phillips, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1114948478
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSOUTH SUBURBAN GASTROENTEROLOGY, PC
Location Address1085 MAIN STSouth Weymouth, MA 02190-1547
Mailing Address1085 Main StSouth Weymouth, MA 02190-1547 · (781) 331-2922 · Fax (781) 335-5702
Phone(781) 331-2922
Fax(781) 335-5702
Organization SubpartNo
Authorized OfficialMary PhillipsPractice Administrator · (781) 331-2922
Enumeration DateJuly 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114948478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1085 MAIN ST, South Weymouth, MA 02190
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Other Identifiers 1

Medicaid9768882MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 22D0969576

South Suburban Gastroenterology PC · Weymouth, MA
Active · expires Feb 11, 2028
CLIA Number22D0969576
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorDr. Michael J. O'brien
Laboratory Phone(781) 331-2922
Laboratory LocationSouth Suburban Gastroenterology PC97 Libbey Parkway, Suite 300, Weymouth, MA 02189
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL JEANNE BURBINE RN
Nurse Practitioner (Family)
1085 MAIN ST
WEYMOUTH, MA 02190
Norfolk County (781) 331-2922
BERNARD F SMITH MD
Specialist
1085 MAIN ST
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 331-2922
WEYMOUTH ENDOSCOPY, LLC
Clinic/Center (Endoscopy)
1085 MAIN ST
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 331-2922
CLAYLAND F COX MD
Internal Medicine (Gastroenterology)
1085 MAIN ST
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 331-2922
JAMES R MOORE MD
Internal Medicine (Gastroenterology)
1085 MAIN ST
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 331-2922
SOUTH SUBURBAN GASTROENTEROLOGY, PC
Anesthesiology
1085 MAIN ST
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 331-2922
JOHN VERMEULEN MD
Internal Medicine (Gastroenterology)
1085 MAIN ST
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 331-2922
DR. FERNANDO JORGE MARTINEZ M.D.
Internal Medicine (Gastroenterology)
1085 MAIN ST
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 331-2922

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Suburban Gastroenterology, PC's NPI number?

The NPI number for South Suburban Gastroenterology, PC is 1114948478. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is South Suburban Gastroenterology, PC located?

South Suburban Gastroenterology, PC is located at 1085 Main St, South Weymouth, MA 02190. The listed phone number is (781) 331-2922.

What is South Suburban Gastroenterology, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does South Suburban Gastroenterology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 22D0969576) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Suburban Gastroenterology, PC accept?

Health plans from Anthem Blue Cross and Blue Shield list South Suburban Gastroenterology, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Suburban Gastroenterology, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.