David A Mattingly (NPI# 1558328443, PAC ID# 3173579042) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1558328443 |
| PAC ID by PECOS | 3173579042 |
| Professional Enrollment ID | I20050323001002 |
| Full Name | David A Mattingly |
| Organization Legal Name | LONGWOOD ORTHOPEDIC ASSOCIATES, INC. |
| Address |
125 Parker Hill Ave Bingham Boston MA 02120-2847 |
| Phone Number | 6172771205 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 1850378548 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220088 | NEW ENGLAND BAPTIST HOSPITAL |
| 220002 | MOUNT AUBURN HOSPITAL |
| 220074 | SOUTHCOAST HOSPITALS GROUP |
| 301312 | HUGGINS HOSPITAL |
| 220060 | BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH |
| Address | Phone | Organization |
|---|---|---|
| 125 Parker Hill Ave, Boston, MA 02120-2847 | 6177545800 | NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, INC. |
| 125 Parker Hill Ave Bingham, Boston, MA 02120-2847 | 6172771205 | LONGWOOD ORTHOPEDIC ASSOCIATES, INC. |
| 830 Boylston St, Suite 106, Chestnut Hill, MA 02467-2502 | 6172771205 | LONGWOOD ORTHOPEDIC ASSOCIATES, INC. |
| Organization Legal Name | LONGWOOD ORTHOPEDIC ASSOCIATES, INC. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey J Van Flandern | Orthopedic Surgery | Longwood Orthopedic Associates, Inc. | 40 Allied Dr, Suite 108, Dedham, MA 02026-6146 |
| Brian E Johnson | Nurse Practitioner | Longwood Orthopedic Associates, Inc. | 150 Flanders Rd, Westborough, MA 01581-1017 |
| James G Nairus | Orthopedic Surgery | Longwood Orthopedic Associates, Inc. | 150 Flanders Rd, Westborough, MA 01581-1017 |
| Danielle Burdo | Physician Assistant | Longwood Orthopedic Associates, Inc. | 150 Flanders Rd, Westborough, MA 01581-1017 |
| Daniel V Lococo | Nurse Practitioner | Longwood Orthopedic Associates, Inc. | 830 Boylston St, Suite 106, Chestnut Hill, MA 02467-2502 |
| Daniel M Ward | Orthopedic Surgery | Longwood Orthopedic Associates, Inc. | 125 Parker Hill Ave Bingham, Boston, MA 02120-2847 |
| Street Address |
125 PARKER HILL AVE BINGHAM |
| City | BOSTON |
| State | MA |
| Zip | 02120-2847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel M Ward | Orthopedic Surgery | Longwood Orthopedic Associates, Inc. | 125 Parker Hill Ave Bingham, Boston, MA 02120-2847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth A Larsen | Psychologist, Clinical | New England Baptist Hospital, 125 Parker Hill Ave, Boston, MA 02120 | |
| Allyson Foss | Physician Assistant | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Patricia A Petrous | Certified Registered Nurse Anesthetist | Anaesthesia Associates of Massachusetts, PC | 125 Paker Hill Ave, Boston, MA 02120-2847 |
| Richard R Guillaume | Certified Registered Nurse Anesthetist (crna) | Anaesthesia Associates of Massachusetts, PC | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Charles J Dow | Cardiovascular Disease (cardiology) | 125 Parker Hill Ave, Boston, MA 02120-2847 | |
| Codey D Gillum | Physician Assistant | Eric J Woodard Md PC | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Jessica L Heath | Anesthesiology | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Sharon Bassi | Pain Management | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Pablo Josue Diaz-collado | Orthopedic Surgery | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Petya T Papazova | Nurse Practitioner | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Find all physicians in zip 02120 | |||
| City | BOSTON |
| Zip Code | 02120 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | BOSTON + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.