High Performance Sports Medicine, Pc
LBN: High Performance Sports Medicine, Pc
High Performance Sports Medicine, Pc is an health care organization with primary practice located at 900 Cummings Ctr Suite 130-U, Beverly MA 01915-6198. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty.
High Performance Sports Medicine, Pc can be contacted via phone (978) 921-7590, or through Gilligan, Mark P. via phone (978) 921-7590.
Contact Information
Primary practice address
900 Cummings Ctr Suite 130-U
Beverly MA 01915-6198
Phone: (978) 921-7590
Fax: (978) 921-7597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X |
Profile Details
| NPI number | 1508859463 |
|---|---|
| LBN Legal business name | High Performance Sports Medicine, Pc |
| DBA Doing business as | |
| Authorized official | Gilligan, Mark P. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Nov 7th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508859463 | NPPES |
| Other | DC0756 | RAILROAD MEDICARE | |
| MEDICAID | 9723820 | RAILROAD MEDICARE | |
| Other | M18148 | RAILROAD MEDICARE | |
| Other | 171031 | RAILROAD MEDICARE | |
| Other | 693840 | RAILROAD MEDICARE | |
| Other | 2998140 | RAILROAD MEDICARE | |
| Other | M21205 | RAILROAD MEDICARE | |
| Other | 0028303 | RAILROAD MEDICARE |
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