Organization Active NPI

Seacoast Orthopedics and Sports Medicine LLC

  • Specialist
  • Newburyport, MA
National Provider Identifier
1306245634
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SEACOAST ORTHOPEDICS AND SPORTS MEDICINE LLC
Practice address
21 Highland Ave
Suite 16
Newburyport, MA 01950-3872
Phone
(978) 462-7555
NPI assigned
Aug 22, 2014
Organization subpart
Yes
Parent organization
SEACOAST ORTHOPEDIC ASSOC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Dr. Kenneth J Glazier, MD
Title
President
Phone
(978) 462-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

21 Highland Ave
Suite 16
Newburyport, MA 01950-3872

Mailing address

21 Highland Ave
Suite 16
Newburyport, MA 01950-3872
Phone (978) 462-7555

National Provider Directory

National Provider Directory
Part of
Seacoast Orthopedic Assoc Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1306245634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE",
            "address_2": "SUITE 16",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503872",
            "telephone_number": "978-462-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE",
            "address_2": "SUITE 16",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503872",
            "telephone_number": "978-462-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST ORTHOPEDICS AND SPORTS MEDICINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEACOAST ORTHOPEDIC ASSOC INC",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "GLAZIER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-462-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.