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PRO SPORTS ORTHOPEDICS INC NPI 1518971811


NPI Information

NPI: 1518971811
Provider Name: PRO SPORTS ORTHOPEDICS INC

Former Legal Business Name: ASSOCIATES IN ORTHOPAEDICS AND SPORTS MEDICINE INC

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
20 GUEST ST STE 225
BRIGHTON, MA
ZIP 02135
Phone: (617) 738-8642
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PRO SPORTS ORTHOPEDICS INC is an orthopaedic surgery in Brighton, 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. PRO SPORTS ORTHOPEDICS INC NPI is 1518971811. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Associates In Orthopaedics And Sports Medicine Inc.

The provider's business location address is:

20 GUEST ST STE 225
BRIGHTON, MA
ZIP 02135-065
Phone: (617) 738-8642
Fax: (617) 202-4172

The provider's authorized official is Linda M Surro .
The authorized official title is Systems Project Manager and has the following contact phone number (617) 491-6766.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 6/20/2019.


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
1247100000XRadiologic TechnologistNo
2363A00000XPhysician AssistantNo
3111N00000XChiropractorNo
4207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryNo
5207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
6207XX0005XOrthopaedic SurgerySports MedicineNo
7208100000XPhysical Medicine & RehabilitationNo
82085N0700XRadiologyNeuroradiologyNo
92086S0105XSurgerySurgery of the HandNo
10213ES0000XPodiatristSports MedicineNo
11207X00000XOrthopaedic 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
1110070879AMEDICAIDMASSACHUSETTS

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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