# MARTHA'S VINEYARD HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Martha's Vineyard Hospital Physician Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962465500
- **Authorized official:** VINCENT T MCDERMOTT (SVP, CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (617) 243-6381

## Contact information

- **Practice address:** 1 HOSPITAL RD, OAK BLUFFS, MA 02557-1406
- **Practice address phone:** (508) 684-4500
- **Practice address fax:** (508) 684-4502
- **Mailing address:** 1 HOSPITAL RD, OAK BLUFFS, MA 02557-1406
- **Mailing address phone:** (508) 684-4500
- **Mailing address fax:** (508) 684-4502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | MA | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | MA | — |
| 208000000X | Pediatrics Physician | — | MA | — |
| 208600000X | Surgery Physician | — | MA | — |
| 363L00000X | Nurse Practitioner | — | MA | — |
| 367A00000X | Advanced Practice Midwife | — | MA | — |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 01/12/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9747231 | — | MA |