Sports Medicine Associates P.C. in Brookline - Neuromusculoskeletal Medicine, Sports Medicine
Sports Medicine Associates P.C. - NPI 1063487577
Sports Medicine Associates P.C. is a Neuromusculoskeletal Medicine, Sports Medicine in Brookline, Massachusetts. Sports Medicine Associates P.C. practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Sports Medicine Associates P.C. is 1063487577. The last update date is 2010-02-25.
Sports Medicine Associates P.C.'s current location address is 830 Boylston St, Brookline, Massachusetts. You can contact this provider via phone number 6177392003 and fax number 6177340242. The mailing address for Sports Medicine Associates P.C. is 830 Boylston St, Brookline, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sports Medicine Associates P.C. |
|---|---|
| Address | 830 Boylston St, Brookline, Massachusetts |
| Phone Number | 6177392003 |
| Fax Number | 6177340242 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hester T. John |
| Credentials | DPM |
| Telephone Number | 6177392003 |
NPI Number Detail
| NPI Number | 1063487577 |
|---|---|
| Provider Enumeration Date | 2006-02-19 |
| Last Updated Date | 2010-02-25 |
Provider Mailing Address Detail
| Address | 830 Boylston St |
|---|---|
| City | Brookline |
| State | Massachusetts (MA) |
| Post Code | 24672503 |
| Phone Number | 6177392003 |
| Fax Number | 6177340242 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
|
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21510 | MA | NEIGHBORHOOD HEALTH PLAN | |
| 49108 | MA | FALLON COMMUNITY HEALTH | |
| M17672 | MA | BCBS OF MA | |
| VC6000189233 | MA | MA WORKERS COMPENSATION | |
| 687403 | MA | TUFTS HEALTH PLAN | |
| 103363500 | FEDERAL WORKERS COMP | ||
| 9703420 | MA | -- | |
| 2436362 | MA | AETNA |
Post Comment/ Review Below
What is the Sports Medicine Associates P.C.'s 1063487577?
The Sports Medicine Associates P.C.'s NPI (National Provider Identifier) Number is 1063487577. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Sports Medicine Associates P.C. is geographically located?
The Sports Medicine Associates P.C. is physically situated at the following location: 830 Boylston St, Brookline, MA, 24672503.
What is the Sports Medicine Associates P.C.'s area of specialization and corresponding taxonomy classification?
The Sports Medicine Associates P.C.'s specialty field is Neuromusculoskeletal Medicine, Sports Medicine, and it falls under the taxonomy code 204C00000X, which categorizes healthcare providers based on their specialties.
On what date did the Sports Medicine Associates P.C. receive its 1063487577 assignment from the Centers for Medicare & Medicaid Services?
The Sports Medicine Associates P.C. was assigned its 1063487577 by the Centers for Medicare & Medicaid Services on 2006-02-19.
As of what date were the details related to Sports Medicine Associates P.C. most recently updated or revised?
The information pertaining to Sports Medicine Associates P.C., including its address, specialty, and other relevant details, was last updated or revised on 2010-02-25.