Children's Orthopaedic Surgery Foundation, Inc. | |
300 Longwood Ave Boston MA 02115-5724 | |
(617) 355-6021 | |
(617) 730-0683 |
Full Name | Children's Orthopaedic Surgery Foundation, Inc. |
---|---|
Speciality | Orthopaedic Surgery |
Location | 300 Longwood Ave, Boston, Massachusetts |
Authorized Official Name and Position | Martha M Murray (CHIEF) |
Authorized Official Contact | 6173556021 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Children's Orthopaedic Surgery Foundation, Inc. 300 Longwood Ave Boston MA 02115-5724 Ph: (617) 355-6021 | Children's Orthopaedic Surgery Foundation, Inc. 300 Longwood Ave Boston MA 02115-5724 Ph: (617) 355-6021 |
NPI Number | 1548344393 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 03/14/2024 |
Certification Date | 03/14/2024 |
Medicare PECOS PAC ID | 2365424876 |
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Medicare Enrollment ID | O20040607000823 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548344393 | NPI | - | NPPES |
Provider Name | John B Emans |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1467417741 PECOS PAC ID: 6901796150 Enrollment ID: I20040319000390 |
Provider Name | Donna Nimec |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1720050396 PECOS PAC ID: 9739163619 Enrollment ID: I20040617000359 |
Provider Name | Donald S Bae |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1831154111 PECOS PAC ID: 1658341524 Enrollment ID: I20040728000874 |
Provider Name | Megan E Anderson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1326140740 PECOS PAC ID: 4385618750 Enrollment ID: I20040823000130 |
Provider Name | Edward K Rodriguez |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1073522116 PECOS PAC ID: 9830163880 Enrollment ID: I20040824001418 |
Provider Name | Michael T Hresko |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1932156007 PECOS PAC ID: 6305892381 Enrollment ID: I20050323000253 |
Provider Name | Brian B Snyder |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1316963127 PECOS PAC ID: 8921046954 Enrollment ID: I20050420001054 |
Provider Name | Michael B Millis |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1528096047 PECOS PAC ID: 5294777439 Enrollment ID: I20050526000911 |
Provider Name | Mark C Gebhardt |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1689655094 PECOS PAC ID: 8729015656 Enrollment ID: I20050722000398 |
Provider Name | James R Kasser |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1801836887 PECOS PAC ID: 7416985874 Enrollment ID: I20050728000041 |
Provider Name | Lawrence I Karlin |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1235186263 PECOS PAC ID: 5890726962 Enrollment ID: I20050829000426 |
Provider Name | Susan T Mahan |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1639105240 PECOS PAC ID: 9537192166 Enrollment ID: I20050914001088 |
Provider Name | Lyle J Micheli |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1346273687 PECOS PAC ID: 2961435144 Enrollment ID: I20050917000145 |
Provider Name | Travis H Matheney |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1396705653 PECOS PAC ID: 9335249093 Enrollment ID: I20070710000663 |
Provider Name | Samantha A Spencer |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1366400756 PECOS PAC ID: 3173624152 Enrollment ID: I20070720000125 |
Provider Name | Dennis E Kramer |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1770541690 PECOS PAC ID: 0941391049 Enrollment ID: I20070803000188 |
Provider Name | Martha M Murray |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1538197694 PECOS PAC ID: 4385735497 Enrollment ID: I20070803000211 |
Provider Name | Rebecca L Vieira |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1558300541 PECOS PAC ID: 9931290996 Enrollment ID: I20070806000118 |
Provider Name | Mininder S Kocher |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1164451597 PECOS PAC ID: 2163437054 Enrollment ID: I20080618000759 |
Provider Name | Pierre A Dhemecourt |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1124054770 PECOS PAC ID: 8527073410 Enrollment ID: I20080624000633 |
Provider Name | Yi Meng Yen |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1881707974 PECOS PAC ID: 1355445966 Enrollment ID: I20081006000606 |
Provider Name | Cynthia T Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760546089 PECOS PAC ID: 3476612771 Enrollment ID: I20081031000158 |
Provider Name | Jessica H Burns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275599144 PECOS PAC ID: 6608935879 Enrollment ID: I20081103000121 |
Provider Name | Amanda B Robbins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508821828 PECOS PAC ID: 0143380105 Enrollment ID: I20081120000298 |
Provider Name | Rachel L Difazio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609832260 PECOS PAC ID: 6709946668 Enrollment ID: I20081121000319 |
Provider Name | Benton E Heyworth |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1306057674 PECOS PAC ID: 1355495391 Enrollment ID: I20090811000178 |
Provider Name | Kiriaki C White |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1922296136 PECOS PAC ID: 6901822154 Enrollment ID: I20091013000485 |
Provider Name | Susan S Quinn |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1093798100 PECOS PAC ID: 2668458027 Enrollment ID: I20091120000258 |
Provider Name | Andrea S Bauer |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1639205354 PECOS PAC ID: 0042334260 Enrollment ID: I20100825000352 |
Provider Name | Benjamin J Shore |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1992027213 PECOS PAC ID: 9931393931 Enrollment ID: I20101103001249 |
Provider Name | Megan M Hannon |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1124203526 PECOS PAC ID: 0345429593 Enrollment ID: I20110120000721 |
Provider Name | Daniel J Hedequist |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1225078397 PECOS PAC ID: 9032385836 Enrollment ID: I20111228000662 |
Provider Name | Young-jo Kim |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1710915236 PECOS PAC ID: 8426216474 Enrollment ID: I20120221001065 |
Provider Name | Anna C Musman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144645888 PECOS PAC ID: 8325263817 Enrollment ID: I20140625000271 |
Provider Name | Carley B Vuillermin |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1689920043 PECOS PAC ID: 8022234327 Enrollment ID: I20140722002510 |
Provider Name | Collin J May |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1821260845 PECOS PAC ID: 5092972372 Enrollment ID: I20140805003190 |
Provider Name | David J Fogelman |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1134440399 PECOS PAC ID: 2466619895 Enrollment ID: I20150814013099 |
Provider Name | Adam S Tenforde |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1184996357 PECOS PAC ID: 2567680879 Enrollment ID: I20151106000178 |
Provider Name | Eduardo N Novais |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1316184245 PECOS PAC ID: 3476726100 Enrollment ID: I20151215001134 |
Provider Name | Sarah S Jackson |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1356603799 PECOS PAC ID: 4880847953 Enrollment ID: I20160726001630 |
Provider Name | Juliana Mariani |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1861839011 PECOS PAC ID: 6800023904 Enrollment ID: I20160908001130 |
Provider Name | Ana Ubeda Tikkanen |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1245571538 PECOS PAC ID: 5890060925 Enrollment ID: I20170929000125 |
Provider Name | Matthew D Milewski |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1184808131 PECOS PAC ID: 0648427930 Enrollment ID: I20171219002238 |
Provider Name | Chandlee R Gore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609065846 PECOS PAC ID: 1052472529 Enrollment ID: I20180314002299 |
Provider Name | Caryn E Danahy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992133359 PECOS PAC ID: 3870855455 Enrollment ID: I20180319002083 |
Provider Name | Kathryn E Drennen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063756336 PECOS PAC ID: 4880956473 Enrollment ID: I20180319002468 |
Provider Name | Ariana M Moccia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609329028 PECOS PAC ID: 5698037844 Enrollment ID: I20180328000162 |
Provider Name | Colyn J Watkins |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1568728244 PECOS PAC ID: 1951539923 Enrollment ID: I20180712001499 |
Provider Name | Carrie Heincelman |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1265799795 PECOS PAC ID: 6507008059 Enrollment ID: I20180815001392 |
Provider Name | Mary Elizabeth Dubon |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1851682991 PECOS PAC ID: 5597077032 Enrollment ID: I20181015002190 |
Provider Name | Craig M Birch |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1104263565 PECOS PAC ID: 9436402500 Enrollment ID: I20181019002222 |
Provider Name | Melissa A Christino |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1326200858 PECOS PAC ID: 6608015052 Enrollment ID: I20181126001571 |
Provider Name | Todd J Blumberg |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1033418793 PECOS PAC ID: 3870817919 Enrollment ID: I20200108001970 |
Provider Name | Grant D Hogue |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1619107349 PECOS PAC ID: 9638480775 Enrollment ID: I20200323002444 |
Provider Name | Ariana Vitali |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669844510 PECOS PAC ID: 4486084795 Enrollment ID: I20200428000528 |
Provider Name | Elyse O'reilly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932761368 PECOS PAC ID: 1456772136 Enrollment ID: I20200604002109 |
Provider Name | Kirsten E Ross |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1538513403 PECOS PAC ID: 5698174332 Enrollment ID: I20210528000975 |
Provider Name | Rebecca H Siegel |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1043605033 PECOS PAC ID: 5597065029 Enrollment ID: I20210617000097 |
Provider Name | Emmanouil Grigoriou |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1861889834 PECOS PAC ID: 2365843943 Enrollment ID: I20210702002069 |
Provider Name | Blake Karlton Montgomery |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1104270610 PECOS PAC ID: 0547662595 Enrollment ID: I20210713002182 |
Provider Name | Michelle Mo |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1386094795 PECOS PAC ID: 2567865843 Enrollment ID: I20210723001762 |
Provider Name | Bridgid Maeve Obrien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760066013 PECOS PAC ID: 6204230329 Enrollment ID: I20210811000708 |
Provider Name | Erin A. Kickham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043737968 PECOS PAC ID: 7315336898 Enrollment ID: I20211123001220 |
Provider Name | Alexandra R Mullaney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609549120 PECOS PAC ID: 3173913654 Enrollment ID: I20211126000016 |
Provider Name | Didem Inanoglu |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1255324422 PECOS PAC ID: 9739171299 Enrollment ID: I20220316001408 |
Provider Name | Aristides Cruz |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1568646800 PECOS PAC ID: 5597938407 Enrollment ID: I20220323002109 |
Provider Name | Samantha Pb Bento |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1427711126 PECOS PAC ID: 7315333861 Enrollment ID: I20220408001450 |
Provider Name | Michael Benvenuti |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1841725371 PECOS PAC ID: 7618243957 Enrollment ID: I20220610000825 |
Provider Name | Alexandra M Dunham |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1093139065 PECOS PAC ID: 2264724970 Enrollment ID: I20220621000875 |
Provider Name | Breann Kathleen Tisano |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1740712579 PECOS PAC ID: 2567842347 Enrollment ID: I20220711002543 |
Provider Name | Katharine F Hollnagel |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1295180289 PECOS PAC ID: 8426341769 Enrollment ID: I20221012001454 |
Provider Name | Kristen Combs |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1639676968 PECOS PAC ID: 7618334418 Enrollment ID: I20230609002587 |
Provider Name | Catherine Ann Mackey |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1235634916 PECOS PAC ID: 3072970888 Enrollment ID: I20230609002643 |
Provider Name | Adam Nasreddine |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1710476338 PECOS PAC ID: 3577819044 Enrollment ID: I20230612000790 |
Provider Name | Elise C Bixby |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1801327655 PECOS PAC ID: 0840670733 Enrollment ID: I20230612002025 |
Provider Name | Jeffrey M Henstenburg |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1922591940 PECOS PAC ID: 7113264367 Enrollment ID: I20230615002076 |
Provider Name | Kristin Livingston |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1841428257 PECOS PAC ID: 8820255029 Enrollment ID: I20230921002882 |
Provider Name | Medgine Lindor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982344925 PECOS PAC ID: 4183063043 Enrollment ID: I20240411004674 |
Provider Name | Elizabeth Maria Alie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538931753 PECOS PAC ID: 4789025230 Enrollment ID: I20240515000415 |
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