Sports Medicine North Orthopaedic Surgery, Inc

LBN: Sports Medicine North Orthopaedic Surgery, Inc
Sports Medicine North Orthopaedic Surgery, Inc is an health care organization with primary practice located at 1 Orthopedics Dr , Peabody MA 01960-1668. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Sports Medicine North Orthopaedic Surgery, Inc can be contacted via phone (978) 818-6350, or through Polansky, Jeffrey A. via phone (978) 818-6350.

Contact Information

Primary practice address
1 Orthopedics Dr Peabody MA 01960-1668
Fax: (978) 818-6355
Website:
Authorized official contact:
Name: Polansky, Jeffrey A. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1740793561
LBN Legal business name Sports Medicine North Orthopaedic Surgery, Inc
DBA Doing business as
Authorized official Polansky, Jeffrey A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2017
Last updated Nov 15th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740793561 NPPES
Massachusetts MEDICAID 110072100A

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