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SPORTS MEDICINE ASSOCIATES P.C. NPI 1063487577


NPI Information

NPI: 1063487577
Provider Name: SPORTS MEDICINE ASSOCIATES P.C.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
830 BOYLSTON ST
SUITE 205
BROOKLINE, MA
ZIP 02467
Phone: (617) 739-2003
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SPORTS MEDICINE ASSOCIATES P.C. is an orthopaedic surgery in Brookline, MA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. SPORTS MEDICINE ASSOCIATES P.C. NPI is 1063487577. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

830 BOYLSTON ST
SUITE 205
BROOKLINE, MA
ZIP 02467-503
Phone: (617) 739-2003
Fax: (617) 734-0242

The provider's authorized official is John T. Hester .
The authorized official title is Owner and has the following contact phone number (617) 739-2003.

The enumeration date for this NPI number is 2/19/2006 and was last updated on 2/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineNo
2213E00000XPodiatristNo
3207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DA2520MEDICARE ID-TYPE UNSPECIFIEDRAILROAD MEDICARE
20021510OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
3103363500OTHERFEDERAL WORKERS COMP
46288790001MEDICARE NSCMASSACHUSETTS
52436362OTHERMASSACHUSETTSAETNA
6M17672OTHERMASSACHUSETTSBCBS OF MA
7M20889MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
8687403OTHERMASSACHUSETTSTUFTS HEALTH PLAN
9VC6000189233OTHERMASSACHUSETTSMA WORKERS COMPENSATION
1049108OTHERMASSACHUSETTSFALLON COMMUNITY HEALTH
119703420MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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