Active NPI
Frank X. Pedlow Jr, MD PC
- Orthopaedic Surgery Physician
- Boston, MA
National Provider Identifier
1073501649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 79694
- Legal business name
- FRANK X. PEDLOW JR, MD PC
- Practice address
- 30 Lancaster St
2ND FLR
Boston, MA 02114-1704 - Phone
- (617) 227-9300
- Fax
- (617) 227-3800
- NPI assigned
- Oct 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank X Pedlow Jr., M.D.
- Title
- Owner
- Phone
- (617) 227-9300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 79694 | MA | Primary |
Addresses
Primary practice location
30 Lancaster St
2ND FLR
Boston, MA 02114-1704
Mailing address
PO Box 86
Hingham, MA 02043-0086
Phone (781) 749-9071
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 729566 | Other | MA | TUFTS |
| F82731 | Other | MA | HPHC |
| 9728236 | Medicaid | MA | |
| M18198 | Other | MA | BCBS MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
101 Merrimac St
Boston, MA 02114
Phone (617) 726-1344
55 Fruit St
Boston, MA 02114
Interoperability endpoints
- pedlow.frank.mgh@direct.partners.masshiway.net
- lee.christie.mgh@direct.partners.masshiway.net
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Boston, MA
- NPI 1841292414
-
- Physician Assistant
- North Easton, MA
- NPI 1376041392
-
- Nurse Practitioner
- Boston, MA
- NPI 1679982185
-
- Nurse Practitioner
- Boston, MA
- NPI 1093186389
-
- Internal Medicine Physician
- Boston, MA
- NPI 1083605612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280361600000",
"number": "1073501649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020430086",
"telephone_number": "781-749-9071",
"fax_number": "781-749-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LANCASTER ST",
"address_2": "2ND FLR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021141704",
"telephone_number": "617-227-9300",
"fax_number": "617-227-3800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANK X. PEDLOW JR, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-07",
"last_updated": "2010-07-29",
"status": "A",
"authorized_official_last_name": "PEDLOW",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "X",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-227-9300",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "79694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "729566",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "F82731",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9728236",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "M18198",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.