JONATHAN VANDALE (NPI# 1154805281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154805281 |
Entity Type | Individual |
Full Name | JONATHAN VANDALE |
Credential | PA-C |
Practice Address |
60 Fenwood Rd Fl 2 Boston MA 02115-6128 |
Mailing Address |
831 E 2nd St # 2 South Boston MA 02127-2333 |
Practice Telephone | 6177325322 |
Mailing Telephone | 4132629376 |
Enumeration Date | 2018-09-25 |
Last Update Date | 2018-09-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
PA6762 | MA | Allopathic & Osteopathic Physicians |
Street Address |
60 FENWOOD RD FL 2 |
City | BOSTON |
State | MA |
Zip Code | 02115-6128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
Find all providers in zip 02115 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
1851710487 | Evan Alexander O'donnell | Orthopaedic Surgery | 55 Fruit Street, Yaw3-3561, Boston, MA 02114 | 2014-04-10 |
1588869168 | Matthew J Salzler | Orthopaedic Surgery | 800 Washington St # 306, Boston, MA 02111-1552 | 2007-06-15 |
1144608381 | Aditi Majumdar | Orthopaedic Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-05-08 |
1326200858 | Melissa A Christino | Orthopaedic Surgery | 300 Longwood Ave, Boston, MA 02115 | 2008-06-26 |
1619141496 | Thomas Hartmann Wuerz | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2008-04-14 |
1184808131 | Matthew David Milewski | Orthopaedic Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2007-12-27 |
1598864449 | Richard Michael Wilk | Orthopaedic Surgery | 75 Francis St, Boston, MA 02115-6110 | 2006-09-21 |
1235243130 | Arun J Ramappa | Orthopaedic Surgery | 330 Brookline Ave, Shapiro 2, Boston, MA 02215-5400 | 2006-08-18 |
1740216811 | Children's Sports Medicine Foundation Inc. | Orthopaedic Surgery | 319 Longwood Ave, Boston, MA 02115-5728 | 2006-06-23 |
Find all providers in BOSTON |
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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.