| NPI | 1053693200 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2011-09-14 |
| Last Updated | 2013-04-11 |
| Authorized Official | Jeffrey Polansky President Phone: 9788186350 |
| Mailing Address | 1 Orthopedics Dr Peabody, MA 01960-1668 United States Phone: (978) 818-6350 | Fax: (978) 818-6355 📍 View Map |
| Primary Practice Address | 147 S Main St Middleton, MA 01949-2446 United States Phone: (978) 818-6350 | Fax: (978) 818-6355 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MA | 9773363 | — |
| Other (non-Medicare) | MA | M15814 | Medicare |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 174400000X – Specialist | — | — |
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About NPI 1053693200
Sports Medicine North Orthopaedic Surgery, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053693200. The primary specialty listed is Specialist. The organization is located in Middleton, MA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-09-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053693200?
NPI 1053693200 belongs to Sports Medicine North Orthopaedic Surgery, Inc, a Specialist in Middleton, MA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053693200 active?
The current status of NPI 1053693200 in the NPPES registry is Active. The record was last updated on 2013-04-11.
What specialty is NPI 1053693200?
NPI 1053693200 is classified under the taxonomy Specialist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053693200?
You can verify NPI 1053693200 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053693200?
The primary practice address on file for NPI 1053693200 is 147 S Main St, Middleton, MA 01949-2446. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053693200 issued?
NPI 1053693200 was first issued (enumerated) on 2011-09-14. The NPPES record was last updated on 2013-04-11.
Practice Location Map
Sports Medicine North Orthopaedic Surgery, Inc is located at 147 S Main St, Middleton, MA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sports Medicine North Orthopaedic Surgery, Inc. All records sourced from the CMS NPPES registry.