SEACOAST ORTHOPEDICS AND SPORTS MEDICINE LLC (NPI# 1306245634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306245634 |
| Entity Type | Organization |
| Organization Name | SEACOAST ORTHOPEDICS AND SPORTS MEDICINE LLC |
| Practice Address |
21 Highland Ave Suite 16 Newburyport MA 01950-3872 |
| Practice Telephone | 9784627555 |
| Mailing Telephone | 9784627555 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Authorized Official Name | DR. KENNETH J GLAZIER (PRESIDENT) |
| Authorized Official Telephone | 9784627555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SEACOAST ORTHOPEDIC ASSOC INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SEACOAST ORTHOPEDICS AND SPORTS MEDICINE LLC |
| Street Address |
21 HIGHLAND AVE SUITE 16 |
| City | NEWBURYPORT |
| State | MA |
| Zip Code | 01950-3872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355232 | Joseph W. Gross | Internal Medicine | 21 Highland Ave, Ste 5, Newburyport, MA 01950-3872 | 2005-06-09 |
| 1104366400 | Jacqueline Carroll | Nurse Practitioner | 21 Highland Ave, Ajh, Cardiology Department, Newburyport, MA 01950-3872 | 2017-03-06 |
| 1033658042 | Meghan Chase | Nurse Practitioner | 21 Highland Ave, Suite 24, Newburyport, MA 01950-3872 | 2017-02-23 |
| 1104362953 | Jeffrey M Bentley Md PC | Surgery | 21 Highland Ave, Suite 7, Newburyport, MA 01950-3872 | 2017-01-17 |
| 1356738330 | Kohli Plastic Surgery PC | Clinic/Center | 21 Highland Ave, Suite 10, Newburyport, MA 01950-3872 | 2015-04-17 |
| 1760879878 | Charles A Swanson | Health Maintenance Organization | 21 Highland Ave, Suite 3, Newburyport, MA 01950-3872 | 2015-04-16 |
| 1174928543 | Seacoast Pain Center, LLC | Pain Medicine | 21 Highland Ave, Suite 16, Newburyport, MA 01950-3872 | 2014-10-28 |
| 1699114512 | Matthew S Favazza | Nurse Practitioner | 21 Highland Ave, Suite 24, Newburyport, MA 01950-3872 | 2013-06-25 |
| 1366712002 | River Valley Infectious Disease Specialists Inc. | Internal Medicine | 21 Highland Ave, Suite 5, Newburyport, MA 01950-3872 | 2012-01-11 |
| 1194005017 | Meagan Emily Pietrasiak | Nurse Practitioner | 21 Highland Ave, Ste 24, Newburyport, MA 01950-3872 | 2011-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954212 | Kirsten Ross | Registered Nurse | Anna Jaques Hospital, 25 Highland Ave, Newburyport, MA 01950 | 2020-02-18 |
| 1649752098 | William Edward Taylor | Social Worker | 25 Bromfield Street Side B, Newburyport, MA 01950 | 2018-09-02 |
| 1982113486 | Rachel Harris | Physical Therapy Assistant | 20 Beacon Ave, Unit 6, Newburyport, MA 01950 | 2017-09-27 |
| 1366998163 | Charles A. Nickou, D.m.d LLC | Dentist | 16 Harris Street, Newburyport, MA 01950 | 2016-08-31 |
| 1972954451 | Kathryn Jane Giguere | Nurse Practitioner | 7 Graf Road, Newburyport, MA 01950 | 2016-06-27 |
| 1487023230 | Christine Burgess | Social Worker | 180 Lowe Street, County Center for Health Rehabilitation, Newburyport, MA 01950 | 2015-09-23 |
| 1356746333 | Kelly Crotty | Occupational Therapist | 26 Washington St, Newburyport, MA 01950 | 2014-11-03 |
| 1225444961 | Christine Scotto | Licensed Practical Nurse | 41 Maple Lane, Monroe, NY 01950 | 2014-07-02 |
| 1811315831 | Newburyport Cardiovascular Associates, LLC | Internal Medicine | 7 Henry Graf Jr. Road, Newburyport, MA 01950 | 2014-04-07 |
| 1205189081 | Darryl Lemus | Counselor | 11 Market Squre Suite 6, Newburyport, MA 01950 | 2012-10-18 |
| Find all providers in zip 01950 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437380698 | Sports Medicine North Orthopaedic Surgery, Inc. | Specialist | 1 Wallace Bashaw Jr. Way, Newburyport, MA 01950 | 2009-08-05 |
| 1457555880 | Wendy Mary Schmidt | Specialist | 14 Orange St, Newburyport, MA 01950-2806 | 2007-06-11 |
| 1235142480 | Ryan B Scannell | Specialist | 189a High St, Newburyport, MA 01950-3864 | 2006-08-15 |
| 1629479340 | Newburyport Gi LLC | Specialist | 255 Low St, Suite 201, Newburyport, MA 01950-3594 | 2014-09-12 |
| 1104264902 | Crossover Health Medical Group | Specialist | 4 Stanley Tucker Dr, Newburyport, MA 01950-4039 | 2013-06-13 |
| 1043364482 | Children's Health Care | Specialist | 257 Low St, Newburyport, MA 01950-3556 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275760 | Heather Audra Wickham | Specialist | 19 Lukes Way, Plymouth, MA 02360-4717 | 2020-11-04 |
| 1811595440 | Elite Upper Extremity and Plastic Surgery, Pllc | Specialist | 123 Summer St Ste 550, Worcester, MA 01608-1216 | 2020-10-15 |
| 1285272559 | Michael Anthony Mandella | Specialist | 615 Reservoir Rd, Lunenburg, MA 01462-1540 | 2019-12-17 |
| 1003372996 | Pic A Nit LLC | Specialist | 111 Worcester Street, North Grafton, MA 01536 | 2019-02-15 |
| 1427513738 | Arlene L Casassa | Specialist | 271 Pond St, Hopkinton, MA 01748-1509 | 2019-01-31 |
| 1851881767 | Cheryl Ann Borden | Specialist | 51 Country Club Way, Ipswich, MA 01938-3000 | 2018-05-16 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1114426988 | Louise Berit Homstead | Specialist | 108 N Main St Ste A, Sunderland, MA 01375-9502 | 2018-02-07 |
| 1356859425 | Tanya Elaine Lachowicz | Specialist | 19 Agassiz St Apt 1, Cambridge, MA 02140-2826 | 2018-01-11 |
| 1083126338 | Kailash Nagrath | Specialist | 33 Sequattom Road, Harwich, MA 02645 | 2017-10-26 |
| Find all providers with the same taxonomy | ||||
| City | NEWBURYPORT |
| Zip Code | 01950 |
Please comment or provide details below to improve the information on SEACOAST ORTHOPEDICS AND SPORTS MEDICINE LLC.
| 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.