Active NPI
Orthopedic Affiliates, Inc.
- Orthopaedic Surgery Physician
- Hudson, MA
National Provider Identifier
1104613868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPEDIC AFFILIATES, INC.
- Practice address
- 34 Highland CMN E
Hudson, MA 01749-2047 - Phone
- (978) 369-5391
- Fax
- (978) 369-7661
- NPI assigned
- Apr 24, 2025
- Organization subpart
- Yes
- Parent organization
- ORTHOPEDIC AFFILIATES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Richard
- Title
- Ceo
- Phone
- (978) 369-5391
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
34 Highland CMN E
Hudson, MA 01749-2047
Mailing address
54 Baker Avenue Ext Ste 200
Concord, MA 01742-2137
Phone (978) 369-5391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250519002878 | MA | DME Supplier - Multi-Specialty - Physician | 6103844261 | Practice locations: Hudson, MA |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Part of
- Orthopedic Affiliates I
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Orthopaedic Surgery Physician
- Concord, MA
- NPI 1891861050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745452800000",
"number": "1104613868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 BAKER AVENUE EXT STE 200",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422137",
"telephone_number": "978-369-5391",
"fax_number": "978-369-7661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 HIGHLAND CMN E",
"city": "HUDSON",
"state": "MA",
"postal_code": "017492047",
"telephone_number": "978-369-5391",
"fax_number": "978-369-7661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC AFFILIATES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHOPEDIC AFFILIATES, INC.",
"enumeration_date": "2025-04-24",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A",
"authorized_official_last_name": "RICHARD",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "978-369-5391"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.