Active NPI
Concord Orthopedics, Inc
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Concord, MA
National Provider Identifier
1093888620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Legal business name
- CONCORD ORTHOPEDICS, INC
- Practice address
- 290 Baker Ave
Concord, MA 01742-2189 - Phone
- (978) 369-1337
- Fax
- (978) 371-3164
- NPI assigned
- Nov 15, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. John Wade Blute Jr., MD
- Title
- President
- Phone
- (978) 369-1337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | Primary |
Addresses
Primary practice location
290 Baker Ave
Concord, MA 01742-2189
Mailing address
290 Baker Ave
Concord, MA 01742-2189
Phone (978) 369-1337
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700003 | Other | MA | TUFTS HEALTH PLAN |
| M13486 | Other | MA | BCBS |
| CB4652 | Other | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
290 Baker Ave
Concord, MA 01742
Phone (978) 369-0730
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Concord, MA
- NPI 1982678397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093888620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 BAKER AVE",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422189",
"telephone_number": "978-369-1337",
"fax_number": "978-371-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 BAKER AVE",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422189",
"telephone_number": "978-369-1337",
"fax_number": "978-371-3164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCORD ORTHOPEDICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BLUTE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "WADE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-369-1337",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "700003",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M13486",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CB4652",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
- Concord Internal Medicine Associates, P.C.
- Concord OB/GYN Associates PC
- Concord Optical
- Concord Optical Company Inc
- Concord Orthodontics PLLC (Heart Orthodontics)
- Concord Pharmacy Inc (West Concord Pharmacy)
- Concord Plastic Surgery Inc
- Concord Primary Care,Inc
- Concord Prosthetics and Orthotics
- Concord Sleep Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.