NPIMap

Organization Active NPI

New England Orthopedic Specialists LLC

  • Orthopaedic Surgery Physician
  • Peabody, MA
National Provider Identifier
1306991583
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
45799 Issued in MA
Legal business name
NEW ENGLAND ORTHOPEDIC SPECIALISTS LLC
Practice address
4 Centennial Dr
Suite 201
Peabody, MA 01960-7935
Phone
(978) 531-0800
Fax
(978) 531-2929
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Dr. Douglas O Halsted, MD
Title
Physician Founder
Phone
(978) 531-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 45799 MA Primary

Addresses

Primary practice location

4 Centennial Dr
Suite 201
Peabody, MA 01960-7935

Mailing address

4 Centennial Dr
Suite 201
Peabody, MA 01960-7935
Phone (978) 531-0800

Other identifiers 2

IdentifierTypeStateIssuer
9725547MedicaidMA
M18136OtherMABCBS

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: berlin.kelsey.neos@direct.partners.masshiway.net
  • Direct secure messaging: buff.david.neos@direct.partners.masshiway.net
  • Direct secure messaging: poulin.james.neos@direct.partners.masshiway.net
  • Direct secure messaging: ayers.andrew.neos@direct.partners.masshiway.net
  • Direct secure messaging: parry.heather.neos@direct.partners.masshiway.net
  • Direct secure messaging: thorn.benjamin.neos@direct.partners.masshiway.net
  • Direct secure messaging: perryman.jonathan.neos@direct.partners.masshiway.net
  • Direct secure messaging: rudolph.kate.neos@direct.partners.masshiway.net
  • Direct secure messaging: churchill.ryan.neos@direct.partners.masshiway.net
  • Direct secure messaging: archibald.jason.neos@direct.partners.masshiway.net
  • Direct secure messaging: florie.erycka.neos@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 4

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1306991583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CENTENNIAL DR",
            "address_2": "SUITE 201",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607935",
            "telephone_number": "978-531-0800",
            "fax_number": "978-531-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CENTENNIAL DR",
            "address_2": "SUITE 201",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607935",
            "telephone_number": "978-531-0800",
            "fax_number": "978-531-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND ORTHOPEDIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "HALSTED",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHYSICIAN FOUNDER",
        "authorized_official_telephone_number": "978-531-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "45799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9725547",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M18136",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.