Organization Active NPI

Willie J. Cater, M.D. P.C.

  • Orthopaedic Surgery Physician
  • Dorchester Center, MA
National Provider Identifier
1144418328
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34911 Issued in MA
Legal business name
WILLIE J. CATER, M.D. P.C.
Practice address
2110 Dorchester Ave
Seton Medical Office BLDG, Suite 211
Dorchester Center, MA 02124-5628
Phone
(617) 296-6622
Fax
(617) 296-4827
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Mrs. Christine Cellucci
Title
Account Manager
Phone
(781) 410-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 34911 MA Primary

Addresses

Primary practice location

2110 Dorchester Ave
Seton Medical Office BLDG, Suite 211
Dorchester Center, MA 02124-5628

Mailing address

PO Box 55849
Boston, MA 02205-5849
Phone (617) 296-6622

Other identifiers 1

IdentifierTypeStateIssuer
9724613MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1144418328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55849",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022055849",
            "telephone_number": "617-296-6622",
            "fax_number": "617-296-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 DORCHESTER AVE",
            "address_2": "SETON MEDICAL OFFICE BLDG, SUITE 211",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245628",
            "telephone_number": "617-296-6622",
            "fax_number": "617-296-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIE J. CATER, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "CELLUCCI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "781-410-9111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "34911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9724613",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester Center, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.