PRO SPORTS ORTHOPEDICS, INC (NPI# 1396083937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396083937 |
| Entity Type | Organization |
| Organization Name | PRO SPORTS ORTHOPEDICS, INC |
| Practice Address |
20 Guest St Ste 225 Brighton MA 02135-2065 |
| Practice Telephone | 6177388642 |
| Practice Fax Number | 6172024172 |
| Mailing Telephone | 6177388642 |
| Mailing Fax Number | 6172024172 |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | LINDA M SURRO (SYSTEMS PROJECT MANAGER) |
| Authorized Official Telephone | 6174916766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110070879A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PRO SPORTS ORTHOPEDICS, INC. | 300 Mount Auburn Street, Suite 505, Cambridge, MA 02238 |
| Street Address |
20 GUEST ST STE 225 |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215923735 | James Hill | Radiology | 20 Guest St Ste 225, Brighton, MA 02135 | 2005-09-20 |
| 1619507043 | Boston Orthopaedic & Spine LLC | Orthopaedic Surgery | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2020-01-24 |
| 1114284288 | Sarav Shah | Orthopaedic Surgery | 20 Guest St Ste 225, Brighton, MA 02135 | 2012-04-13 |
| 1447425038 | Matthew Michael Werger | Orthopaedic Surgery | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2008-04-24 |
| 1518971811 | Pro Sports Orthopedics Inc | Radiologic Technologist | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2006-07-29 |
| 1346283694 | Christina M Linkiewicz | Physician Assistant | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2006-06-14 |
| 1679539860 | Craig R Stirrat | Orthopaedic Surgery | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2006-04-25 |
| 1881660066 | John T Hester | Podiatrist | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2006-02-27 |
| 1629044862 | L. Douglas Dolgov | Physical Medicine & Rehabilitation | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2006-02-27 |
| 1952398174 | Anthony John Schena | Orthopaedic Surgery | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2005-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| 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 |
|---|---|---|---|---|
| 1245854470 | Platte Valley Medical Group, LLC | Orthopaedic Surgery | 1610 Prairie Center Pkwy Ste 2200, Brighton, CO 80601-4008 | 2020-06-03 |
| 1003430281 | Platte Valley Medical Group, LLC | Orthopaedic Surgery | 1610 Prairie Center Pkwy Ste 2300, Brighton, CO 80601-4003 | 2020-06-03 |
| 1730204983 | Boston Orthopaedic and Sport Medicine, Inc. | Orthopaedic Surgery | 736 Cambridge St Fl 9, St. Elizabeth's Hospital Bone and Joint Clinic, Brighton, MA 02135-2907 | 2007-03-20 |
| 1548347032 | Sheehan & Zahner Orthopedic Associates PC | Orthopaedic Surgery | 736 Cambridge St - Ccp9, Brighton, MA 02135-3514 | 2006-11-01 |
| 1063459261 | Raymond A Sullivan Jr. | Orthopaedic Surgery | 11 Nevins St. Suite 303, St. Elizabeth's Med Blg, Brighton, MA 02135 | 2006-05-31 |
| 1114985348 | Glen Ross | Orthopaedic Surgery | 20 Guest St, Ste 225, Brighton, MA 02135-2065 | 2006-05-04 |
| 1336753409 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 1600 Prairie Center Pkwy, Brighton, CO 80601-4006 | 2020-09-04 |
| 1932746278 | Platte Valley Medical Group LLC | Orthopaedic Surgery | 1610 Prairie Center Pkwy, Ste 2200, Brighton, CO 80601 | 2019-12-05 |
| 1659829323 | Pro Sports Orthopedics, LLC | Orthopaedic Surgery | 20 Guest St, Suite 225, Brighton, MA 02135 | 2016-09-12 |
| 1659667673 | Kshitijkumar Murlidhar Agrawal | Orthopaedic Surgery | 736 Cambridge St, Bone and Joint Center, Brighton, MA 02135-2907 | 2011-06-28 |
| Find all providers in BRIGHTON | ||||
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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.