PDC SPINE PC (NPI# 1326675315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326675315 |
| Entity Type | Organization |
| Organization Name | PDC SPINE PC |
| Practice Address |
125 Parker Hill Ave Boston MA 02120-2847 |
| Mailing Address |
Po Box 86 Hingham MA 02043-0086 |
| Practice Telephone | 6177545000 |
| Mailing Telephone | 7817499071 |
| Mailing Fax Number | 7817492133 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | PABLO DIAZ (OWNER) |
| Authorized Official Telephone | 7817499071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
125 PARKER HILL AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02120-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649896382 | Stephan C Bruni | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2020-06-18 |
| 1558911248 | Sara Flynn Gosselin | Pharmacist | 125 Parker Hill Ave, Boston, MA 02120 | 2019-09-16 |
| 1104486133 | Amanda Thomas | Pharmacist | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2019-06-20 |
| 1376021758 | Dawn Kalloch Murphy | Social Worker | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-30 |
| 1962980342 | Carla Susan Hill | Social Worker | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-30 |
| 1629555784 | Katherine Rose Bellanti | Registered Nurse | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-23 |
| 1184100802 | Ajb Orthopedics, Pllc | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-16 |
| 1346758380 | Michelle Anne Doherty | Nurse Practitioner | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-01-11 |
| 1508370974 | Ashley Margaret Wolusky | Nurse Practitioner | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2017-11-21 |
| 1609398437 | Douglas Grunseich | Nurse Anesthetist, Certified Registered | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2017-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244735 | Alicia Hoffman | Occupational Therapist | 71 Alleghany Street, Boston, MA 02120 | 2020-01-22 |
| 1376193110 | Katherine Wiley | Student in an Organized Health Care Education/Training Program | 71 Allegheny Street, Boston, MA 02120 | 2019-09-13 |
| 1073171971 | Kyana Figueroa | Community/Behavioral Health | 4 Sussex St, Roxbury, MA 02120 | 2019-06-05 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1811424005 | Christopher Lim | Student in an Organized Health Care Education/Training Program | 1620 Tremont St, One Brigham Circle, Radiology Administration, Boston, MA 02120 | 2017-05-18 |
| 1609328178 | Nikhil A Sangave | Pharmacist | 1290 Tremont St Fl 3, Boston, MA 02120 | 2016-10-31 |
| 1417232968 | Hrc Corp Inc | Pharmacy | 201 Humboldt Avenue, Dorchester, MA 02120 | 2011-10-17 |
| 1689957722 | Hrd Corp, Inc | Pharmacy | 201 Humboldt Ave, Dorchester, MA 02120 | 2011-09-26 |
| 1841580453 | Alessandro Villa | Dentist | 1620 Tremont Street, Suite Bc-3-028, Division of Oral Medicine & Dentistry Bwh, Boston, MA 02120 | 2011-04-15 |
| 1043446859 | Sara King | Internal Medicine | 1290 Tremont Street, Boston, MA 02120 | 2009-06-08 |
| Find all providers in zip 02120 | ||||
| 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 |
| Find all providers in BOSTON | ||||
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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.