BOSTON SPORTS & SHOULDER CENTER, LLC


Address: 123 Waterhouse Rd, Bourne, MA 02532-3890
Phone: 6172641100

BOSTON SPORTS & SHOULDER CENTER, LLC (NPI# 1770975823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770975823
Entity Type Organization
Organization Name BOSTON SPORTS & SHOULDER CENTER, LLC
Other Organization Name BOSTON SPORTS & SHOULDER CENTER
Practice Address 123 Waterhouse Rd
Bourne
MA 02532-3890
Mailing Address 840 Winter St
Attn: Boston Sports & Shoulder Center
Waltham
MA 02451-1433
Practice Telephone 6172641100
Practice Fax Number 6172641101
Mailing Telephone 7818902133
Mailing Fax Number 7818902177
Enumeration Date 2015-02-26
Last Update Date 2016-05-27
Authorized Official Name MRS. FRANCES A HELMS (BUSINESS MANAGER)
Authorized Official Telephone 7818902133
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Boston Sports & Shoulder Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1972996098 Boston Sports & Shoulder Center, LLC Orthopaedic Surgery 40 Allied Dr, Dedham, MA 02026-6146 2015-03-13
1437184165 Boston Sports & Shoulder Center, LLC Orthopaedic Surgery 840 Winter St, Attn: Boston Sports & Shoulder Center, Waltham, MA 02451-1433 2006-07-11

Office Location

Street Address 123 WATERHOUSE RD
City BOURNE
State MA
Zip Code 02532-3890

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144743410 Community Health Center of Cape Cod, Inc. Pharmacy 123 Waterhouse Rd, Bourne, MA 02532-3890 2017-07-19
1841686938 Nanci Ann Bonito Registered Nurse 123 Waterhouse Rd, Bourne, MA 02532-3890 2015-04-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194380766 Continuous Motion Physical Therapy Physical Therapist 10 Millenium Drive, Bourne, MA 02532 2019-05-08
1023466380 Margaret Crane Student in an Organized Health Care Education/Training Program 25 Presidents Road, Bourne, MA 02532 2016-05-27
1003072588 Sylvia C Koo Dentist 9 County Road, Bourne, MA 02532 2008-08-04
1285833848 Eye Health Care of Bourne Ophthalmology 1 Trowbridge Rd., Suite 333, Bourne, MA 02532 2007-07-13
1235290024 Dana F Zweig Family Medicine 118c Waterhouse Road, Bourne, MA 02532 2006-12-13
1053491779 Royal Health Group LLC Skilled Nursing Facility 8 Lewis Point Road, Buzzards Bay, MA 02532 2006-10-17
1609988328 Dana Christopher Ricker Optometrist 16 Macarthur Blvd, Bourne, MA 02532 2006-08-31
1417922311 Cheryl A Hitchings Physician Assistant 1 Trowbridge Road, Suite 100, Bourne, MA 02532 2006-02-22
1023007283 Scott M Harris Specialist One Trowbridge Road, Bourne, MA 02532 2005-10-19
1902285414 Odonata Psychotherapy & Retreat Center LLC Social Worker 121 Main St, Buzzards Bay, MA 02532 2015-05-29
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982212700 Boston Prolotherapy & Orthopaedics, Pllc Orthopaedic Surgery 92 Montvale Ave Ste 4650, Stoneham, MA 02180-3631 2020-07-17
1609403146 Thomas John Carroll Orthopaedic Surgery 224 Donald Ave, Somerset, MA 02726-5411 2020-03-25
1013557727 University Orthopedics, Inc. Orthopaedic Surgery 10 Reservoir St, Mansfield, MA 02048-3104 2020-01-10
1659911618 Orthopedic Care Physician Network, LLC Orthopaedic Surgery 1 Compass Way Ste 202, East Bridgewater, MA 02333-1466 2020-01-08
1457999351 Orthopedic Care Physician Network LLC Orthopaedic Surgery 89 Forbes Blvd Ste 1000, Mansfield, MA 02048-1281 2019-12-11
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
1316411929 Orthopedic Care Physician Network LLC Plymouth Orthopaedic Surgery 225 Water St Ste C105, Plymouth, MA 02360-4062 2019-01-16
1871070144 Giuseppe Orlando Orthopaedic Surgery 850 Harrison Avenue, Dowling 2 North Bme, Boston, MA 02118 2018-07-19
1306339676 Michael Adam Moverman Orthopaedic Surgery 19 Julie Rd, North Easton, MA 02356-2114 2018-06-12
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Competitor

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City BOURNE
Zip Code 02532

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Dataset Information

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.

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