CENTER FOR COMPUTER ASSISTED AND RECONSTRUCTIVE SURGERY (NPI# 1891986105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891986105 |
| Entity Type | Organization |
| Organization Name | CENTER FOR COMPUTER ASSISTED AND RECONSTRUCTIVE SURGERY |
| Practice Address |
125 Parker Hill Avenue Suite 545 Boston MA 02120 |
| Mailing Address |
61 Wedgemere Avenue Winchester MA 01890 |
| Practice Telephone | 6172323040 |
| Practice Fax Number | 6177546436 |
| Mailing Telephone | 6172323040 |
| Mailing Fax Number | 6177546436 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | MRS. MICHELLE MARY SIMPSON-MURPHY (OFFICE MANAGER) |
| Authorized Official Telephone | 6172323040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 58245 | MA | Allopathic & Osteopathic Physicians |
| Y | 174400000X | Specialist | 58245 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 694495 | 01 |
| MA | BCBS | CEM18202 | 01 |
| Street Address |
125 PARKER HILL AVENUE SUITE 545 |
| City | BOSTON |
| State | MA |
| Zip Code | 02120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003881624 | Allyson Foss | Physician Assistant | 125 Parker Hill Avenue, Dept of Orthopedics, Boston, MA 02120 | 2006-02-17 |
| 1922592930 | Michael Joseph Davis | Physician Assistant | 125 Parker Hill Avenue, Boston, MA 02120 | 2018-06-22 |
| 1407240062 | Daniel R Schmitt | Orthopaedic Surgery | 125 Parker Hill Avenue, Boston, MA 02120 | 2015-03-22 |
| 1043578990 | Pablo Diaz-collado | Orthopaedic Surgery | 125 Parker Hill Avenue, Converse 4, Suite 1, Boston, MA 02120-2847 | 2012-04-29 |
| 1811265598 | Sharon Marie Higgins | Nurse Practitioner | 125 Parker Hill Avenue, Boston, MA 02451 | 2011-12-08 |
| 1003025867 | James Joseph Gaydos | Physical Therapist | 125 Parker Hill Avenue, Boston, MA 02120-2847 | 2007-05-21 |
| 1700920816 | Lori Baumann | Occupational Therapist | 125 Parker Hill Avenue, Boston, MA 02120 | 2007-02-20 |
| 1831233808 | Kristen O'connell | Physical Therapist | 125 Parker Hill Avenue, Boston, MA 02120 | 2007-02-16 |
| 1801803002 | Richard Scott | Orthopaedic Surgery | 125 Parker Hill Avenue, Orthopedic Surgery, Boston, MA 02120 | 2006-08-01 |
| 1245270255 | Thomas Chung Liu | Internal Medicine | 125 Parker Hill Avenue, Fremont Smith 570, Boston, MA 02120 | 2006-06-07 |
| 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 | 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 |
|---|---|---|---|---|
| 1588032254 | Hee Jin Song | Specialist | 40 Montcalm Ave, Apt #2, Boston, MA 02135-2841 | 2015-09-10 |
| 1417366386 | Shaylynn Devin | Specialist | 185 Devonshire St Suite 201, Boston, MA 02110-1407 | 2014-08-05 |
| 1598181075 | Chelsea Robson | Specialist | 29 Queensberry St, Apt 16, Boston, MA 02215-5035 | 2014-03-08 |
| 1346670353 | Jeffrey Mosko | Specialist | 330 Brookline Ave # 4, Boston, MA 02215-5400 | 2013-11-13 |
| 1538593116 | Laura J Uppendahl | Specialist | 251 Causeway St Fl 2, Boston, MA 02114 | 2013-08-30 |
| 1649604588 | Winnie W Mok | Specialist | 145 South Street, Boston, MA 02111 | 2013-08-28 |
| 1932428174 | Stephen I Alexander | Specialist | 52 Dwight St Apt 3, Boston, MA 02118-3609 | 2010-05-27 |
| 1114153004 | Lilit Garibyan | Specialist | 55 Fruit Street Bar 622, Massachusetts General Hospital, Dept of Dermatology, Boston, MA 02114 | 2009-06-05 |
| 1770731937 | Kindred Hospitals East, LLC | Specialist | 1515 Commonwealth Ave, Boston, MA 02135-3617 | 2008-08-29 |
| 1740448596 | Sara Cherkerzian | Specialist | 1620 Tremont Avenue, Obc-3-034l, Boston, MA 02120-1613 | 2008-05-29 |
| 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.