Active NPI
Martha'S Vineyard Orthopedic Surgery and Sports Medicine
- Prosthetic/Orthotic Supplier
- West Tisbury, MA
National Provider Identifier
1164465266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MARTHA'S VINEYARD ORTHOPEDIC SURGERY AND SPORTS MEDICINE
- Practice address
- 12 Cournoyer Rd
West Tisbury, MA 02575-0547 - Phone
- (508) 693-5949
- Fax
- (508) 693-0319
- NPI assigned
- Jun 14, 2006
- 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
- Raymond R Monto, M.D.
- Title
- Ceo
- Phone
- (508) 693-5949
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 |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
12 Cournoyer Rd
West Tisbury, MA 02575-0547
Mailing address
PO Box 547
12 Cournoyer Rd
West Tisbury, MA 02575-0547
Other names 1
- MONTO ORTHOPEDICS
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Nantucket, MA
- NPI 1689634545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1164465266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"address_2": "12 COURNOYER RD",
"city": "WEST TISBURY",
"state": "MA",
"postal_code": "025750547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 COURNOYER RD",
"city": "WEST TISBURY",
"state": "MA",
"postal_code": "025750547",
"telephone_number": "508-693-5949",
"fax_number": "508-693-0319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTHA'S VINEYARD ORTHOPEDIC SURGERY AND SPORTS MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "MONTO",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "508-693-5949",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MONTO ORTHOPEDICS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Tisbury, MA
- Peter Cosmo Engley
- Susan M Fieldsmith, LMHC
- Lila Merrily Fischer, C.P.M.
- Leia Marie French, CPM
- Laurence Paul Greenberg, PT, MS, M.ED.
- Martha'S Vineyard Orthopedic Surgery and Sports Medicine
- Marthas Vineyard Ear Nose and Throat Specialists PC
- Bryan P McShea, D.C.
- Karen F Meeks, LICSW
- Helen Neumann, LIC ACC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.