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MARTHA'S VINEYARD ORTHOPEDIC SURGERY AND SPORTS MEDICINE NPI 1588624415


NPI Information

NPI: 1588624415
Provider Name: MARTHA'S VINEYARD ORTHOPEDIC SURGERY AND SPORTS MEDICINE

Doing Business As: MONTO ORTHOPEDICS

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
12 COURNOYER ROAD
WEST TISBURY, MA
ZIP 02575
Phone: (508) 693-5949
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MARTHA'S VINEYARD ORTHOPEDIC SURGERY AND SPORTS MEDICINE is an orthopaedic surgery in West Tisbury, 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. MARTHA'S VINEYARD ORTHOPEDIC SURGERY AND SPORTS MEDICINE NPI is 1588624415. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Monto Orthopedics.

The provider's business location address is:

12 COURNOYER ROAD
WEST TISBURY, MA
ZIP 02575-547
Phone: (508) 693-5949
Fax: (508) 693-0319

The provider's authorized official is Raymond Rocco Monto .
The authorized official title is Ceo and has the following contact phone number (508) 693-5949.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 11/25/2007.


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
1363AM0700XPhysician AssistantMedicalNo
2225100000XPhysical TherapistNo
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
1M17719OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
2PT0110MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSPT GROUP NUMBER
3M20679MEDICARE PINMASSACHUSETTS
4Y61175OTHERMASSACHUSETTSBC/BS PT GROUP
5AA39271OTHERHARVARD PILGRIM PT GROUP
69703217MEDICAIDMASSACHUSETTS

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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