BOSTON SPORTS & SHOULDER CENTER, LLC (NPI# 1972996098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972996098 |
| Entity Type | Organization |
| Organization Name | BOSTON SPORTS & SHOULDER CENTER, LLC |
| Other Organization Name | BOSTON SPORTS & SHOULDER CENTER |
| Practice Address |
40 Allied Dr Dedham MA 02026-6146 |
| 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 | 2015-03-13 |
| Last Update Date | 2016-05-27 |
| Authorized Official Name | MRS. FRANCES A. HELMS (BUSINESS MANAGER) |
| Authorized Official Telephone | 7818902133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Boston Sports & Shoulder Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770975823 | Boston Sports & Shoulder Center, LLC | Orthopaedic Surgery | 123 Waterhouse Rd, Bourne, MA 02532-3890 | 2015-02-26 |
| 1437184165 | Boston Sports & Shoulder Center, LLC | Orthopaedic Surgery | 840 Winter St, Attn: Boston Sports & Shoulder Center, Waltham, MA 02451-1433 | 2006-07-11 |
| Street Address |
40 ALLIED DR |
| City | DEDHAM |
| State | MA |
| Zip Code | 02026-6146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457339491 | Thomas J. Gill Iv | Orthopaedic Surgery | 40 Allied Dr, Dedham, MA 02026-6146 | 2006-01-09 |
| 1851785166 | Catharine Halpin | Specialist/Technologist | 40 Allied Dr, Dedham, MA 02026-6146 | 2015-03-25 |
| 1972934529 | Boston Sports Medicine and Research Institute LLC | Specialist | 40 Allied Dr, Dedham, MA 02026-6146 | 2013-12-09 |
| 1871939595 | Massachusetts Bay Regional Mri Limited Partnership | Clinic/Center | 40 Allied Dr, Ste 112, Dedham, MA 02026-6146 | 2013-05-21 |
| 1184750820 | Courtney Dawson | Orthopaedic Surgery | 40 Allied Dr, Suite 102, Dedham, MA 02026-6146 | 2007-02-26 |
| 1871545095 | Brian M Petrone | Physician Assistant | 40 Allied Dr, Dedham, MA 02026-6146 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
| 1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
| 1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
| 1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
| 1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
| 1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
| 1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
| Find all providers in zip 02026 | ||||
| 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 |
|---|---|---|---|---|
| 1184750820 | Courtney Dawson | Orthopaedic Surgery | 40 Allied Dr, Suite 102, Dedham, MA 02026-6146 | 2007-02-26 |
| 1457413668 | Onaly A Kapasi | Orthopaedic Surgery | 80 Bridge St, Dedham, MA 02026-1765 | 2006-12-14 |
| 1659306942 | Dedham Medical Associates, Inc | Orthopaedic Surgery | One Lyons Street, Dedham, MA 02026 | 2006-07-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.