SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY,INC (NPI# 1033481494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033481494 |
| Entity Type | Organization |
| Organization Name | SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY,INC |
| Practice Address |
1 Orthopedics Dr 2nd Floor Peabody MA 01960-1668 |
| Practice Telephone | 9788186350 |
| Practice Fax Number | 9788186355 |
| Mailing Telephone | 9788186350 |
| Mailing Fax Number | 9788186355 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | DR. JEFFREY POLANSKY (PRESIDENT) |
| Authorized Official Telephone | 9788186350 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9773363 | 05 | |
| MA | MEDICARE | M15814 | 01 |
| Street Address |
1 ORTHOPEDICS DR 2ND FLOOR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104804673 | Jarett S Landman | Physician Assistant | 1 Orthopedics Dr, Peabody, MA 01960-1668 | 2006-01-05 |
| 1285101329 | Jordan M Evans | Physician Assistant | 1 Orthopedics Dr, Peabody, MA 01960-1668 | 2018-10-26 |
| 1740793561 | Sports Medicine North Orthopaedic Surgery, Inc | Radiology | 1 Orthopedics Dr, Peabody, MA 01960-1668 | 2017-11-15 |
| 1821535378 | North Shore Ambulatory Anesthesia Partners LLC | Anesthesiology | 1 Orthopedics Dr, Peabody, MA 01960-1668 | 2017-01-23 |
| 1265983761 | Sports Medicine North Orthopedic Surgery, Inc. | Orthopaedic Surgery | 1 Orthopedics Dr, 2nd Floor, Peabody, MA 01960-1668 | 2016-10-19 |
| 1548653801 | Edward O'reilly | Physician Assistant | 1 Orthopedics Dr, 2nd Floor, Peabody, MA 01960-1668 | 2015-03-11 |
| 1699171470 | Sports Medicine North Orthopaedic Surgery, Inc. | Specialist | 1 Orthopedics Dr, Peabody, MA 01960-1668 | 2014-11-06 |
| 1528468121 | Kyle Williams | Physician Assistant | 1 Orthopedics Dr, Peabody, MA 01960-1668 | 2014-09-02 |
| 1912315722 | Allison Shawcross | Physical Therapist | 1 Orthopedics Dr, Peabody, MA 01960-1668 | 2014-07-24 |
| 1871910364 | Michelle J Bouley | Physician Assistant | 1 Orthopedics Dr, 2nd Floor, Peabody, MA 01960-1668 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790199412 | Justin Paul Kaminski | Podiatrist | 6 Essex Center Dr Ste 208, Peabody, MA 01960-2906 | 2014-06-20 |
| 1285856435 | North Shore Podiarty Associates, Inc. | Podiatrist | 205 Andover Street, Peabody, MA 01960-1603 | 2007-05-03 |
| 1316969546 | Eliot G Sherr | Podiatrist | 205 Andover St, Peabody, MA 01960-1603 | 2006-07-24 |
| 1790102291 | Timothy Karthas | Podiatrist | 2 Essex Center Dr, Peabody, MA 01960-2926 | 2014-03-21 |
| 1700104296 | North Shore Foot & Ankle, LLC | Podiatrist | 205 Andover Street, Peabody, MA 01960-1603 | 2010-05-10 |
| 1821298241 | Matthew V Capozzi | Podiatrist | 6 Essex Center Dr, Suite 208, Peabody, MA 01960-2904 | 2007-07-24 |
| 1821104241 | Paul S Peicott | Podiatrist | 6 Essex Center Dr, Suite 208, Peabody, MA 01960-2910 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096261 | East Point Foot & Ankle PC | Podiatrist | 250 N Main St Ste 102, E Longmeadow, MA 01028-1834 | 2020-03-03 |
| 1144705443 | Bay State Foot & Ankle Specialists, LLC | Podiatrist | 380 Lowell St Ste 102, Wakefield, MA 01880-1984 | 2018-10-02 |
| 1396230298 | Samuel Caine | Podiatrist | 732 Harrison Ave Fl 5, Boston, MA 02118-2309 | 2018-06-25 |
| 1467982413 | Navicular LLC | Podiatrist | 140 Park St Ste 1, Attleboro, MA 02703-8048 | 2017-06-13 |
| 1669904140 | Zachary Sax | Podiatrist | 264 Beacon St Fl 2, Boston, MA 02116-1236 | 2017-04-03 |
| 1215488937 | Brian D Tedesco, Dpm & George A Abboud, Dpm PC | Podiatrist | 30 Newcrossing Road, Suite 311, Reading, MA 01867 | 2016-10-18 |
| 1487107769 | Chih Kang David Liou | Podiatrist | 10 Beacon St, Somerville, MA 02143-4311 | 2016-08-03 |
| 1477905446 | Erik Henriksen | Podiatrist | 116 Court St Ste 3, Plymouth, MA 02360-8710 | 2016-07-01 |
| 1922459973 | Kelly Noonan | Podiatrist | 451 Andover St Ste 209, North Andover, MA 01845 | 2016-06-30 |
| 1831503549 | Julie Riley | Podiatrist | 409 Pond St Ste 3, Braintree, MA 02184-6853 | 2014-06-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY,INC.
| 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.