NPI Code Details Logo

NPI 1548117872

NPI 1548117872 : SOUTH SHORE MDS, LLC : HANOVER, MA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1548117872
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SOUTH SHORE MDS, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/16/2026
-----------------------------------------------------
    Last Update Date     |    03/16/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2048 WASHINGTON ST STE 3 
-----------------------------------------------------
    City                 |    HANOVER
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    02339-1658
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    781-561-0460
-----------------------------------------------------
    Fax                  |    781-243-4064
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2048 WASHINGTON ST STE 3 
-----------------------------------------------------
    City                 |    HANOVER
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    02339-1658
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    781-561-0460
-----------------------------------------------------
    Fax                  |    781-243-4064
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/PHYSICIAN
-----------------------------------------------------
    Name                 |    DR. SHERIFAT A HINCHEY 
-----------------------------------------------------
    Credential           |    MD, MPH
-----------------------------------------------------
    Telephone            |    781-561-0460
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RG0300X
-----------------------------------------------------
    Taxonomy Name        |    Geriatric Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RH0005X
-----------------------------------------------------
    Taxonomy Name        |    Hypertension Specialist Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.