SOUTH SHORE SKIN CENTER, LLC
NPI 1790763159
Specialist in Plymouth, MA

Active since January 05, 2006
1 SCOBEE CIR, UNIT 3, PLYMOUTH, MA 02360(508) 747-0711(508) 746-9265 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Shore Skin Center, Llc NPPES

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

SOUTH SHORE SKIN CENTER, LLC (NPI 1790763159) is a healthcare organization registered as a specialist in Plymouth, Massachusetts and active in the NPI registry since January 2006. The organization lists Richard F Eisen, Manager, as its authorized official.

NPPES Registry Identity

NPI1790763159
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH SHORE SKIN CENTER, LLC
Location Address1 SCOBEE CIR, UNIT 3Plymouth, MA 02360-4887
Mailing Address1 Scobee Cir, Unit 3Plymouth, MA 02360-4887 · (508) 747-0711 · Fax (508) 746-9265
Fax(508) 746-9265
Organization SubpartNo
Authorized OfficialRichard F EisenManager · (508) 747-0711
Enumeration DateJanuary 5, 2006
Last NPPES UpdateJune 29, 2015
NPI 1790763159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1 SCOBEE CIR, Plymouth, MA 02360

Other Identifiers 3

Other685603MA · Tufts Health Plan
Medicare PINM20779MA
OtherM17452MA · Blue Cross And Blue Shiel

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

Other Providers at the Same Location NPPES 9

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

Dermatology
1 SCOBEE CIR, UNIT 3
PLYMOUTH, MA 02360
Physician Assistant
1 SCOBEE CIR
PLYMOUTH, MA 02360
Nurse Practitioner (Family)
1 SCOBEE CIR
PLYMOUTH, MA 02360
Dermatology
1 SCOBEE CIR, UNIT 3
PLYMOUTH, MA 02360
Nurse Practitioner (Family)
1 SCOBEE CIR
PLYMOUTH, MA 02360
Dermatology
1 SCOBEE CIR
PLYMOUTH, MA 02360
Dermatology
1 SCOBEE CIR
PLYMOUTH, MA 02360
Physician Assistant
1 SCOBEE CIR, UNIT 3
PLYMOUTH, MA 02360

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 Shore Skin Center, LLC's NPI number?

The NPI number for South Shore Skin Center, LLC is 1790763159. It was assigned to this organization in the NPPES registry on January 5, 2006.

Where is South Shore Skin Center, LLC located?

South Shore Skin Center, LLC is located at 1 Scobee Cir Unit 3, Plymouth, MA 02360. The listed phone number is (508) 747-0711.

What is South Shore Skin Center, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does South Shore Skin Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list South Shore Skin Center, LLC 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 Shore Skin Center, LLC was last updated on June 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.