Active NPI
Mulroy Orthopaedic Surgery & Sports Medicine, PC
- Orthopaedic Surgery Physician
- Milford, MA
National Provider Identifier
1194765545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MULROY ORTHOPAEDIC SURGERY & SPORTS MEDICINE, PC
- Practice address
- 321 Fortune Blvd
Milford, MA 01757-1750 - Phone
- (508) 478-7135
- Fax
- (508) 473-7198
- NPI assigned
- Jun 7, 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
- Dr. John Michael Mulroy, M.D.
- Title
- President
- Phone
- (508) 478-7135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
321 Fortune Blvd
Milford, MA 01757-1750
Mailing address
PO Box 189
Milford, MA 01757-0189
Phone (508) 478-7135
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BLUE SHIELD | Other | MA | M18753 |
| 9733400 | Medicaid | MA | |
| 3626845 | Other | MA | AETNA |
| 92156 | Other | MA | FALLON HEALTH PLAN |
| 698702 | Other | MA | TUFTS HEALTH PLANS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194765545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "MILFORD",
"state": "MA",
"postal_code": "017570189",
"telephone_number": "508-478-7135",
"fax_number": "508-473-7198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 FORTUNE BLVD",
"city": "MILFORD",
"state": "MA",
"postal_code": "017571750",
"telephone_number": "508-478-7135",
"fax_number": "508-473-7198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULROY ORTHOPAEDIC SURGERY & SPORTS MEDICINE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MULROY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-478-7135",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M18753",
"identifier": "BLUE SHIELD",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9733400",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3626845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON HEALTH PLAN",
"identifier": "92156",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLANS",
"identifier": "698702",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milford, MA
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.