Sports Medicine Associates P.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SPORTS MEDICINE ASSOCIATES P.C.

Practice address

830 Boylston St
Suite 205
Brookline, MA 02467-2503

Phone

(617) 739-2003

Fax

(617) 734-0242

NPI assigned

Feb 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John T. Hester, DPMNPI 1881660066

Title

Owner

Phone

(617) 739-2003

Specialties & licenses 3

Addresses

Other identifiers 8

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John T Hester, DPM

  • Sports Medicine Podiatrist
  • Brighton, MA
  • NPI 1881660066
  NPD (past) Authorized official
• St George Tucker Aufranc, M.D.

  • Orthopaedic Surgery Physician
  • Brookline, MA
  • NPI 1578539755
  NPD (past)
• L. Douglas Dolgov, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Brighton, MA
  • NPI 1629044862
  NPD (past)
• Paul P Weitzel, M.D.

  • Orthopaedic Surgery Physician
  • Waltham, MA
  • NPI 1235197872
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1063487577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2200",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030314200",
            "telephone_number": "603-673-9411",
            "fax_number": "603-673-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BOYLSTON ST",
            "address_2": "SUITE 205",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024672503",
            "telephone_number": "617-739-2003",
            "fax_number": "617-734-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-19",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-739-2003",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0021510",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH",
            "identifier": "49108",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "M17672",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA WORKERS  COMPENSATION",
            "identifier": "VC6000189233",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "687403",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKERS COMP",
            "identifier": "103363500",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9703420",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2436362",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.