High Performance Sports Medicine, Pc in Beverly - Orthopaedic Surgery
High Performance Sports Medicine, Pc - NPI 1508859463
High Performance Sports Medicine, Pc is a Orthopaedic Surgery in Beverly, Massachusetts. High Performance Sports Medicine, Pc practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for High Performance Sports Medicine, Pc is 1508859463. The last update date is 2014-11-07.
High Performance Sports Medicine, Pc's current location address is 900 Cummings Ctr, Beverly, Massachusetts. You can contact this provider via phone number 9789217590 and fax number 9789217597. The mailing address for High Performance Sports Medicine, Pc is 900 Cummings Ctr, Beverly, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | High Performance Sports Medicine, Pc |
|---|---|
| Address | 900 Cummings Ctr, Beverly, Massachusetts |
| Phone Number | 9789217590 |
| Fax Number | 9789217597 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gilligan P. Mark |
| Credentials | MD |
| Telephone Number | 9789217590 |
NPI Number Detail
| NPI Number | 1508859463 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2014-11-07 |
Provider Mailing Address Detail
| Address | 900 Cummings Ctr |
|---|---|
| City | Beverly |
| State | Massachusetts (MA) |
| Post Code | 19156198 |
| Phone Number | 9789217590 |
| Fax Number | 9789217597 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
|
Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DC0756 | RAILROAD MEDICARE | ||
| 9723820 | MA | -- | |
| M18148 | MA | BLUE CROSS BLUE SHIELD | |
| 171031 | HARVARD PILGRIM | ||
| 693840 | TUFTS HEALTH PLAN | ||
| 2998140 | AETNA | ||
| M21205 | MEDICARE PTAN | ||
| 28303 | NEIGHBORHOOD HEALTH PLAN |
Post Comment/ Review Below
What is the unique identifier code issued to High Performance Sports Medicine, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The High Performance Sports Medicine, Pc has been assigned the NPI (National Provider Identifier) 1508859463. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of High Performance Sports Medicine, Pc?
The High Performance Sports Medicine, Pc is situated at 900 Cummings Ctr, in the city of Beverly, state of MA, with the zip code 19156198.
What is High Performance Sports Medicine, Pc's area of expertise and its corresponding taxonomy classification?
The High Performance Sports Medicine, Pc's field of specialization is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their areas of practice.
On what date did High Performance Sports Medicine, Pc receive its 1508859463 assignment from the Centers for Medicare & Medicaid Services?
The High Performance Sports Medicine, Pc was assigned its 1508859463 on 2005-08-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the High Performance Sports Medicine, Pc's details last updated?
The information pertaining to the High Performance Sports Medicine, Pc, including its address, specialty, and other details, was most recently updated on 2014-11-07.