FRANK X. PEDLOW JR, MD PC (NPI# 1073501649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073501649 |
| Entity Type | Organization |
| Organization Name | FRANK X. PEDLOW JR, MD PC |
| Practice Address |
30 Lancaster St 2nd Flr Boston MA 02114-1704 |
| Mailing Address |
Po Box 86 Hingham MA 02043-0086 |
| Practice Telephone | 6172279300 |
| Practice Fax Number | 6172273800 |
| Mailing Telephone | 7817499071 |
| Mailing Fax Number | 7817492133 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2010-07-29 |
| Authorized Official Name | FRANK X PEDLOW JR. (OWNER) |
| Authorized Official Telephone | 6172279300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 79694 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 729566 | 01 |
| MA | HPHC | F82731 | 01 |
| MA | BCBS MA | M18198 | 01 |
| MA | 9728236 | 05 |
| Street Address |
30 LANCASTER ST 2ND FLR |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292414 | Frank X Pedlow Jr. | Orthopaedic Surgery | 30 Lancaster St, 2nd Floor, Boston, MA 02114-1704 | 2005-08-12 |
| 1568837250 | Occmed Consulting & Injury Care, LLC | Preventive Medicine | 30 Lancaster St, 2nd Floor, Boston, MA 02114-1704 | 2015-12-06 |
| 1790189546 | Siobhan Durkin | Nurse Practitioner | 30 Lancaster St, Boston, MA 02114-1704 | 2014-10-22 |
| 1770987448 | Erica Joy Bruehlmann | Physician Assistant | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 | 2014-10-09 |
| 1700288610 | Kathryn K Carley | Physical Therapist | 30 Lancaster St, Ste 100, Boston, MA 02114-1704 | 2014-09-23 |
| 1679982185 | Amy Marie Lownds Fabiani | Nurse Practitioner | 30 Lancaster St, 2nd Floor, Boston, MA 02114-1704 | 2014-08-08 |
| 1417375734 | Michelle Danley | Physical Therapist | 30 Lancaster St, Ste 100, Boston, MA 02114-1704 | 2014-04-03 |
| 1053659060 | Nathan Magnuson | Physical Therapist | 30 Lancaster St, Unit 1, Boston, MA 02114-1704 | 2013-01-25 |
| 1518264928 | Pinnacle Rehabilitation Network,llc | Physical Therapist | 30 Lancaster St, Suite 100, Boston, MA 02114-1704 | 2011-02-21 |
| 1558527598 | Erik P Holmes | Physical Therapist | 30 Lancaster St, Ste 100, Boston, MA 02114-1704 | 2008-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1871159848 | Andrew Moon | Orthopaedic Surgery | 45 Stuart St Apt 2117, Boston, MA 02116-4769 | 2019-05-15 |
| 1871070144 | Giuseppe Orlando | Orthopaedic Surgery | 850 Harrison Avenue, Dowling 2 North Bme, Boston, MA 02118 | 2018-07-19 |
| 1982134946 | Andrew Daniels Hagar | Orthopaedic Surgery | 800 Washtington Street, Boston, MA 02111 | 2017-06-13 |
| 1124479019 | Jeffrey M Potter | Orthopaedic Surgery | 55 Fruit Street, Yawkey 3c, Massachusetts General Hospital, Boston, MA 02114 | 2016-06-22 |
| 1841676905 | Boston Orthopaedic Urgent Care, LLC | Orthopaedic Surgery | 23 Ridgeway Ln, Boston, MA 02114-4206 | 2015-07-30 |
| 1063823755 | Alfred Pisano | Orthopaedic Surgery | 55 Fruit St Bldg 3550, Boston, MA 02114-2621 | 2014-05-15 |
| 1073952859 | Gregory Gasbarro | Orthopaedic Surgery | 55 Fruit St Ste 3g3200, Boston, MA 02114-2621 | 2013-06-14 |
| 1154663607 | Sean Patrick Kelly | Orthopaedic Surgery | 55 Fruit St # 125n-260, Boston, MA 02114 | 2013-03-22 |
| 1528334828 | Harold August Fogel | Orthopaedic Surgery | 55 Fruit St Ste 3800-3a, Boston, MA 02114-2621 | 2012-03-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.