ACKLAND SPORTS MEDICINE, INC. (NPI# 1902949704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902949704 |
| Entity Type | Organization |
| Organization Name | ACKLAND SPORTS MEDICINE, INC. |
| Practice Address |
449 Route 130 Suite 8 Sandwich MA 02563-2339 |
| Practice Telephone | 5088886907 |
| Mailing Telephone | 5088886907 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL KINGSLEY ACKLAND (PRESIDENT) |
| Authorized Official Telephone | 5088886907 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
1845471 | NY | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
76697 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS PAYEE # | 610007 | 01 |
| MA | BLUE CROSS GROUP # | M16223 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ACKLAND SPORTS MEDICINE, INC. | 470 Washington Street, Suite 26, Norwood, MA 02062 |
| Street Address |
449 ROUTE 130 SUITE 8 |
| City | SANDWICH |
| State | MA |
| Zip Code | 02563-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619930559 | Marianne Sarah Koenig | Pediatrics | 449 Route 130, Sandwich, MA 02563-2339 | 2006-04-11 |
| 1821346693 | The Sandwich Center, Inc. | Psychologist | 449 Route 130, Sandwich, MA 02563-2339 | 2012-08-27 |
| 1497960215 | Sandwich Pediatrics | Pediatrics | 449 Route 130, Sandwich, MA 02563-2339 | 2007-05-14 |
| 1770651796 | Frances L Nenna | Pediatrics | 449 Route 130, Sandwich, MA 02563-2339 | 2006-11-30 |
| 1578642575 | Aimee Doctoroff | Registered Nurse | 449 Route 130, Sandwich, MA 02563 | 2006-11-02 |
| 1710087838 | Marie Jellinek | Registered Nurse | 449 Route 130, Sandwich, MA 02563 | 2006-09-25 |
| 1205865797 | David M Callahan | Psychologist | 449 Route 130, Suite 12, Sandwich, MA 02563 | 2006-06-30 |
| 1841256658 | Michael K. Ackland, Md | Orthopaedic Surgery | 449 Route 130, Ste 8, Sandwich, MA 02563 | 2006-04-21 |
| 1730144635 | Theodore Jellinek | Psychiatry & Neurology | 449 Route 130, Sandwich, MA 02563 | 2006-04-20 |
| 1376506188 | Torrey Toltin | Pediatrics | 449 Route 130, Sandwich, MA 02563-2339 | 2006-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897194 | Home Instead Senior Care | Home Health | 125 Route 6a, Sandwich, MA 02563 | 2019-12-02 |
| 1063993459 | Abir Zaineh | Behavioral Analyst | 449 Rte. 6a., Sandwich, MA 02563 | 2018-08-24 |
| 1538653316 | Joanne Macleod | Physical Therapy Assistant | 3 Viburnum Circle, Sandwich, MA 02563 | 2018-06-15 |
| 1912413402 | Jessica Clark Adams | Behavioral Analyst | 449 Rt. 6a, Sandwich, MA 02563 | 2017-12-19 |
| 1902318082 | Jigarkumar Patel | Pharmacist | 65 Tupper Rd, Sandwich, MA 02563 | 2017-10-30 |
| 1720403223 | Thomas Loughman | Physical Therapist | 18 Route 6a Building 2, Sandwich, MA 02563 | 2014-02-20 |
| 1649529454 | Tara M Nelson | Dietitian, Registered | 68 Tupper Road Suite 6, Sandwich, MA 02563 | 2012-09-07 |
| 1871720151 | Center for Orthopedic Rehabilitation Inc | Physical Therapist | 315 Cotuit Rd. Unit 1, Sandwich, MA 02563 | 2009-06-15 |
| 1255511697 | Acupuncture Services of Randolph,, Inc. | Acupuncturist | 171 Route 6a, Old Kings. Highway, Sandwich, MA 02563 | 2007-11-13 |
| 1063622694 | Kyriaki Antonia Fitzgerald | Psychologist | 90 Rte 6a, Suite 4c, Sandwich, MA 02563 | 2007-05-23 |
| Find all providers in zip 02563 | ||||
| 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 |
|---|---|---|---|---|
| 1841256658 | Michael K. Ackland, Md | Orthopaedic Surgery | 449 Route 130, Ste 8, Sandwich, MA 02563 | 2006-04-21 |
| 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 |
| 1154805281 | Jonathan Vandale | Orthopaedic Surgery | 60 Fenwood Rd Fl 2, Boston, MA 02115-6128 | 2018-09-25 |
| 1073023339 | Lauren Elizabeth Bruno | Orthopaedic Surgery | 200 Providence Hwy Ste 200, Dedham, MA 02026-1881 | 2017-10-02 |
| 1386022218 | Mark Pohlman | Orthopaedic Surgery | 165 Converse St, Unit #9, Longmeadow, MA 01106-1711 | 2015-05-12 |
| 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 |
| 1497891030 | Laurie M Katz | Orthopaedic Surgery | 2000 Washington St, #341, Newton Wellesley Orthopedic Assoc., Inc, Newton, MA 02462-1602 | 2007-01-30 |
| 1386691087 | Richard R Renaud | Orthopaedic Surgery | 54 Mary Lou Ct, Raynham, MA 02767-5253 | 2006-05-28 |
| 1194791186 | William A Mitchell Jr. | Orthopaedic Surgery | 65 Walnut St Ste 440, Wellesley, MA 02481-2196 | 2006-02-28 |
| 1457339491 | Thomas J. Gill Iv | Orthopaedic Surgery | 40 Allied Dr, Dedham, MA 02026-6146 | 2006-01-09 |
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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.