Provider Demographics
NPI:1508858697
Name:SSHC, INC.
Entity Type:Organization
Organization Name:SSHC, INC.
Other - Org Name:SOUTH SHORE HEALTH CARE, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER, PRESIDENT & MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SEARS
Authorized Official - Last Name:BARATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-848-1950
Mailing Address - Street 1:275 TURNPIKE ST
Mailing Address - Street 2:STE 200
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021
Mailing Address - Country:US
Mailing Address - Phone:781-848-1950
Mailing Address - Fax:781-356-4887
Practice Address - Street 1:275 TURNPIKE ST
Practice Address - Street 2:STE 200
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021
Practice Address - Country:US
Practice Address - Phone:781-848-1950
Practice Address - Fax:781-356-4887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-16
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110071828AMedicaid
600659OtherTUFTS HEALTH PLAN
M15468OtherBCBS
MAM15468OtherBCBSMA
MA9768025Medicaid
0463966OtherAETNA
0957512OtherCIGNA