ORTHOPEDIC CARE PHYSICIAN NETWORK LLC


Address: 675 Paramount Dr, Suite 205, Raynham, MA 02767-5416
Phone: 5088285848

ORTHOPEDIC CARE PHYSICIAN NETWORK LLC (NPI# 1144644857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144644857
Entity Type Organization
Organization Name ORTHOPEDIC CARE PHYSICIAN NETWORK LLC
Practice Address 675 Paramount Dr
Suite 205
Raynham
MA 02767-5416
Mailing Address 15 Roche Brothers Way
North Easton
MA 02356-1000
Practice Telephone 5088285848
Enumeration Date 2014-02-17
Last Update Date 2017-04-25
Authorized Official Name DR. SIMON CORNELISSEN (PHYSICIAN/PARTNER)
Authorized Official Telephone 7813443535
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457999351 Orthopedic Care Physician Network LLC Orthopaedic Surgery 89 Forbes Blvd Ste 1000, Mansfield, MA 02048-1281 2019-12-11
1225427487 Orthopedic Care Physician Network LLC Orthopaedic Surgery 225 Water St, Suite C-105, Plymouth, MA 02360-4060 2015-01-12

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations ORTHOPEDIC CARE PHYSICIAN NETWORK LLC 15 Roche Brothers Way, North Easton, MA 02356

Office Location

Street Address 675 PARAMOUNT DR
SUITE 205
City RAYNHAM
State MA
Zip Code 02767-5416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922091024 Patricia I. Kussman Physical Therapist 675 Paramount Dr, Suite 103, Raynham, MA 02767-5416 2005-08-24
1104292101 Kohli Plastic Surgery PC Clinic/Center 675 Paramount Dr, Suite 304, Raynham, MA 02767-5416 2015-08-13
1629459474 Tristan Medical, PC Clinic/Center 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 2015-06-17
1063829620 Catherine Green Physician Assistant 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 2014-07-16
1134536055 Jacquelyn Elise Pennie Physician Assistant 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 2014-07-14
1396152187 Brendan Ryan Physician Assistant 675 Paramount Dr, 203, Raynham, MA 02767-5416 2014-07-14
1881009009 Deanna Nicole Packard Physician Assistant 675 Paramount Dr, Suite 205, Raynham, MA 02767-5416 2014-06-26
1225381783 Maseo Tran Physician Assistant 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 2012-10-22
1821340811 Bethany Lynn Akins Physical Therapist 675 Paramount Dr, Suite 103, Raynham, MA 02767-5416 2012-10-15
1114281102 Rad Rheumatology and Autoimmune Disorders Internal Medicine 675 Paramount Dr, Suite 205, Raynham, MA 02767-5416 2012-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265044069 Heather Dubose Social Worker 329 King Philip Street, Raynham, MA 02767 2020-08-21
1801115654 Wanda L Meyer Registered Nurse 257 Prospect Hill St., Raynham, MA 02767 2010-05-19
1033386099 Choice Dental Inc Dentist 606 North Main Streeet, Raynham, MA 02767 2008-05-09
1639378482 Laura Eddy Counselor 90 New State Highway Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 2007-07-12
1861617524 Charlene A Remillard Social Worker 90 New State Highway, Raynham, MA 02767 2007-04-16
1437287166 Sandra Diaz Psychologist 90 New State Hwy, Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 2007-03-02
1629115688 Luis Moncada Dentist 500 Raynham Street West, Raynham, MA 02767 2007-01-31
1942300371 Cvs Pharmacy Inc Pharmacy 252 Broadway, Raynham, MA 02767 2006-09-25
1912004524 Mrudula Patel Family Medicine 302 Broadway Ste 8, Hines Dermatology Associates, Raynham, MA 02767 2006-09-19
1447271374 Mary Ann Garcia Dds PC Dentist 166 Paramount Dr, Raynham, MA 02767 2006-07-23
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326012329 Shawn P Mills Orthopaedic Surgery 675 Paramount Dr, Raynham, MA 02767-5416 2006-02-15

Providers in the same taxonomy and state

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
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Competitor

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City RAYNHAM
Zip Code 02767

Improve Information

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Dataset Information

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.

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