NORTHEAST ORTHOPEDIC ASSOCIATES, PC (NPI# 1902850357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902850357 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ORTHOPEDIC ASSOCIATES, PC |
| Practice Address |
200 Providence Hwy Suite 202 Dedham MA 02026-1881 |
| Mailing Address |
Po Box 415044 Boston MA 02241-5044 |
| Practice Telephone | 7814614543 |
| Practice Fax Number | 7813262030 |
| Mailing Telephone | 7814077713 |
| Mailing Fax Number | 7814070998 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | DR. JOHN J TIERNEY (PRESIDENT) |
| Authorized Official Telephone | 7814614543 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MA | Allopathic & Osteopathic Physicians | |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
MA | Allopathic & Osteopathic Physicians | |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MA | Allopathic & Osteopathic Physicians | |
| N | 208100000X | Physical Medicine & Rehabilitation | MA | Allopathic & Osteopathic Physicians | |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
MA | Podiatric Medicine & Surgery Service Providers | |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
MA | Podiatric Medicine & Surgery Service Providers | |
| N | 213E00000X | Podiatrist | MA | Podiatric Medicine & Surgery Service Providers | |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
MA | Allopathic & Osteopathic Physicians |
| Street Address |
200 PROVIDENCE HWY SUITE 202 |
| City | DEDHAM |
| State | MA |
| Zip Code | 02026-1881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508846882 | Eugenio Martinez | Physical Medicine & Rehabilitation | 200 Providence Hwy, Dedham, MA 02026-1881 | 2006-01-20 |
| 1194350868 | Kristen Taylor Cockrell | Physical Therapist | 200 Providence Hwy, Dedham, MA 02026-1881 | 2020-03-03 |
| 1073090692 | Greater Boston Wellness Primary Care PC | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2018-07-26 |
| 1720580491 | Kelly Murphy | Physical Therapist | 200 Providence Hwy, Dedham, MA 02026-1881 | 2018-03-08 |
| 1679959977 | Northeast Orthopedic Associates, Inc. | Clinic/Center | 200 Providence Hwy, Suite 200, Dedham, MA 02026-1881 | 2015-08-10 |
| 1235514795 | Greater Boston Wellness Physicians | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2015-07-27 |
| 1588060669 | Adam Kuks | Physical Therapist | 200 Providence Hwy, Dedham, MA 02026-1881 | 2014-11-17 |
| 1821407156 | Meghan Burke Johnson | Physical Therapist | 200 Providence Hwy, Dedham, MA 02026-1881 | 2014-08-12 |
| 1215366042 | Thomas Snediker Jr. | Physical Therapist | 200 Providence Hwy, Dedham, MA 02026-1881 | 2013-11-02 |
| 1124455381 | Todd Phillip Norton | Physical Therapist | 200 Providence Hwy, Dedham, MA 02026-1881 | 2013-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
| 1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
| 1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
| 1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
| 1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
| 1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
| 1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
| Find all providers in zip 02026 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| 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 |
|---|---|---|---|---|
| 1306116686 | Mohan Karisankappa Puttaswamy | Orthopaedic Surgery | 95 W Squantum St, 111, Archstone Quincy, Quincy, MA 02171-2123 | 2012-01-04 |
| 1124229778 | Edward J. Dunn | Orthopaedic Surgery | 10 Uncle Freemans Rd, West Dennis, MA 02670-2307 | 2007-05-30 |
| 1881753242 | Harris S Yett | Orthopaedic Surgery | Bidmc - Dept of Orhtopaedics, 330 Brookline Ave, Boston, MA 02115 | 2006-12-08 |
| 1497847982 | John Mcarthur Harris IIi | Orthopaedic Surgery | 150 South Huntington Avenue (112), Dva Boston Healthcare System, Boston, MA 02130 | 2006-09-29 |
| 1063517456 | George J Raukar | Orthopaedic Surgery | Coastal Orthopaedics, 235 Hanover Street, Fall River, MA 02720 | 2006-09-13 |
| 1265488480 | Saul Magitsky | Orthopaedic Surgery | 281 County Street, Attleboro, MA 02703 | 2006-05-26 |
| 1184100802 | Ajb Orthopedics, Pllc | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-16 |
| 1679075410 | Krysta Kayla Cass | Orthopaedic Surgery | 330 Brookline Ave, Boston, MA 02215-5400 | 2018-03-07 |
| 1407240062 | Daniel R Schmitt | Orthopaedic Surgery | 125 Parker Hill Avenue, Boston, MA 02120 | 2015-03-22 |
| 1598019846 | Dennis W Burke Md & Associates, LLC | Orthopaedic Surgery | 100 Highland St, Suite G3, Milton, MA 02186-3881 | 2012-11-07 |
| Find all providers with the same taxonomy | ||||
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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.