Organization Active NPI

Martha'S Vineyard Orthopedic Surgery and Sports Medicine

  • Prosthetic/Orthotic Supplier
  • West Tisbury, MA
National Provider Identifier
1164465266
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Raymond R Monto, M.D.NPI 1689634545
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)CodeLicenseStatePrimary
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 Doing business as

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": "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

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.

Verify at the official NPI Registry.