TBSG LLC SHC (NPI# 1346510344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346510344 |
Entity Type | Organization |
Organization Name | TBSG LLC SHC |
Practice Address |
32 Newton St Southborough MA 01772-1215 |
Mailing Address |
Po Box 86 Hingham MA 02043-0086 |
Practice Telephone | 5084814700 |
Practice Fax Number | 5084812150 |
Mailing Telephone | 7817499071 |
Mailing Fax Number | 7817492133 |
Enumeration Date | 2012-01-06 |
Last Update Date | 2012-03-20 |
Authorized Official Name | DR. ROBERT J BANCO (OWNER) |
Authorized Official Telephone | 6172196301 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
Street Address |
32 NEWTON ST |
City | SOUTHBOROUGH |
State | MA |
Zip Code | 01772-1215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770195745 | Ye Eun Song | Nurse Practitioner | 32 Newton St, Southborough, MA 01772-1215 | 2020-08-20 |
1962900290 | Meng Gao | Registered Nurse | 32 Newton St, Southborough, MA 01772 | 2018-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
1588188544 | Jennifer Foran | Behavior Technician | 33 Turnkpike Road, Southborough, MA 01772 | 2017-08-01 |
1588184402 | Lise Mary Gallo | Behavioral Analyst | 16 Clifford St, Southborough, MA 01772 | 2017-06-21 |
1437508322 | Kristen Lomker | Pharmacist | 155 Northborough Rd, Southboro, MA 01772 | 2016-06-10 |
1679841829 | Scott Adam Canter | Acupuncturist | 64 William Onthank Lane, Southborough, MA 01772 | 2011-12-02 |
1396966206 | Umer Sayeed Shah | Surgery | 2 Parkcentral Drive Suite 210, Avc / Acc, Southborough, MA 01772 | 2007-05-01 |
1982636411 | Armineh Mirzabegian | Internal Medicine | Southboro Medical Group, 24 Newton Street, Southboro, MA 01772 | 2006-07-07 |
1336197508 | Lisa M Hassler | Pediatrics | 24 Newton Street, Southboro Medical Group, Southboro, MA 01772 | 2006-05-04 |
1295714640 | Robin K Morgan | Physical Therapist | 28 Newton St, Southborough, MA 01772 | 2006-01-13 |
1528562998 | Emily Marie Bagley | Student in an Organized Health Care Education/Training Program | 33 Turnpike Rd, Southborough, MA 01772 | 2018-03-21 |
Find all providers in zip 01772 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225518848 | Leah Witkin | Orthopaedic Surgery | 55 Fruit St Ste 3800, Boston, MA 02114-2621 | 2018-08-14 |
1104195981 | Kshitij Chaudhary | Orthopaedic Surgery | 44 Washigton Street #217, Brookline, MA 02445 | 2011-12-22 |
1376657056 | James Cushing Bayley | Orthopaedic Surgery | 736 Cambridge St # Ccp-9, Bone and Joint Center, Boston, MA 02135-2907 | 2006-08-18 |
1558316166 | Boston Spine Group, LLC. | Orthopaedic Surgery | 299 Washington Street, Newton, MA 02458-1612 | 2006-05-23 |
1841292414 | Frank X Pedlow Jr. | Orthopaedic Surgery | 30 Lancaster St, 2nd Floor, Boston, MA 02114-1704 | 2005-08-12 |
1285636993 | Louis G Jenis | Orthopaedic Surgery | 299 Washington St, Newton, MA 02458-1612 | 2005-08-12 |
1619507043 | Boston Orthopaedic & Spine LLC | Orthopaedic Surgery | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2020-01-24 |
1679132070 | Boston Orthopedic Spine Care Inc | Orthopaedic Surgery | 822 Boylston St, Chestnut Hill, MA 02467-2595 | 2019-06-10 |
1962889295 | Robert J. Banco, Md, PC | Orthopaedic Surgery | 25 Washington St, Unit # 1-b, Wellesley, MA 02481-1752 | 2015-05-06 |
1619399961 | Paul Glazer, Md, LLC | Orthopaedic Surgery | 330 Brookline Ave, Boston, MA 02215-5400 | 2014-01-06 |
Find all providers with the same taxonomy |
City | SOUTHBOROUGH |
Zip Code | 01772 |
Please comment or provide details below to improve the information on TBSG LLC SHC.
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.