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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | ORTHOPEDIC CARE PHYSICIAN NETWORK LLC | 15 Roche Brothers Way, North Easton, MA 02356 |
Street Address |
675 PARAMOUNT DR SUITE 205 |
City | RAYNHAM |
State | MA |
Zip Code | 02767-5416 |
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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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 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 |
---|---|---|---|---|
1326012329 | Shawn P Mills | Orthopaedic Surgery | 675 Paramount Dr, Raynham, MA 02767-5416 | 2006-02-15 |
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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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.