Provider Demographics
NPI:1982789772
Name:CAPE GYNECOLOGY, LLC
Entity Type:Organization
Organization Name:CAPE GYNECOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCATEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-255-2325
Mailing Address - Street 1:19 BAY STATE CT
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:MA
Mailing Address - Zip Code:02631-2120
Mailing Address - Country:US
Mailing Address - Phone:508-255-2325
Mailing Address - Fax:508-255-0015
Practice Address - Street 1:19 BAY STATE CT
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:MA
Practice Address - Zip Code:02631-2120
Practice Address - Country:US
Practice Address - Phone:508-255-2325
Practice Address - Fax:508-255-0015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM17351OtherBLUE CROSS BLUE SHIELD
MA667845OtherTUFTS HEALTH PLAN
MA9786066Medicaid
MA9786066Medicaid