Orthopedic Center of New England PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

1071 Issued in ME

Legal business name

ORTHOPEDIC CENTER OF NEW ENGLAND PA

Practice address

55 Baxter Blvd
Portland, ME 04101-1801

Phone

(207) 773-7428

Fax

(207) 842-6229

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

John J Padavano, DO

Title

Owner

Phone

(207) 773-7428

Specialties & licenses 1

Addresses

Other names 1

• BACK COVE PHYSICAL THERAPY Other name

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15149/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Matthew D Wallace, MSPT

  • Physical Therapist
  • Hamilton, NY
  • NPI 1790740074
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1285833236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BAXTER BLVD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011801",
            "telephone_number": "207-773-7428",
            "fax_number": "207-842-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BAXTER BLVD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011801",
            "telephone_number": "207-773-7428",
            "fax_number": "207-842-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC CENTER OF NEW ENGLAND PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "PADAVANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-773-7428",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "1071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BACK COVE PHYSICAL THERAPY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Orthopaedic Associates of Portland Performance Therapy
• Orthopaedic Associates of Portland, P.a.
• Orthopaedic Associates of Portland, PA
• Orthopaedic Associates of Portland, PA
• Orthopaedic Surgery Center
• Jenna Osborn
• Kelly L Osborne, FNP
• Chelsea Osgood, MS, OTR/L
• Amanda Marie Osmolski, IPDH
• Elna Osso, RN

• Orthopaedic Surgery Physician in Portland, ME
• Providers in Portland, ME by specialty
• Orthopaedic Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.