Seacoast Orthopedic Assoc Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SEACOAST ORTHOPEDIC ASSOC INC

Practice address

21 Highland Ave
Suite 16
Newburyport, MA 01950-3872

Phone

(978) 462-7555

Fax

(978) 462-9049

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Jenelle Leblanc

Title

Operations Manager

Phone

(978) 462-7555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA2 enrollments

Enrollment records 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Seacoast Orthopedics and Sports Medicine LLC

  • Specialist
  • Newburyport, MA
  • NPI 1306245634
  NPPES parent name

Practitioners 10

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

• Andrew Banos, MD

  • Orthopaedic Surgery Physician
  • Newburyport, MA
  • NPI 1154610384
  Medicare reassignment Care Compare group NPD
• James J Ford, M.D.

  • Orthopaedic Surgery Physician
  • Newburyport, MA
  • NPI 1730163692
  Medicare reassignment Care Compare group NPD
• Stella J Lee, MD

  • Orthopaedic Hand Surgery Physician
  • Newburyport, MA
  • NPI 1922411883

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• John David Trask, MD

  • Orthopaedic Surgery Physician
  • Newburyport, MA
  • NPI 1386517043
  Medicare reassignment Care Compare group NPD
• Paul S. Chang, D.O.

  • Orthopaedic Surgery Physician
  • Newburyport, MA
  • NPI 1285639740
  Medicare reassignment Care Compare group
• Christopher Laurent Dziok, PA

  • Physician Assistant
  • Hyannis, MA
  • NPI 1811658263
  Medicare reassignment Care Compare group
• Gabrielle Huang, PA-C

  • Physician Assistant
  • Newburyport, MA
  • NPI 1053043430
  Medicare reassignment Care Compare group
• Kaylie Murphy, PA-C

  • Physician Assistant
  • Newburyport, MA
  • NPI 1891314506
  Medicare reassignment Care Compare group
• Kenneth J Glazier, M.D.

  • Orthopaedic Surgery Physician
  • Newburyport, MA
  • NPI 1841274875
  Medicare reassignment NPD
• Sawyer Jeffrey Fleck, PA-C

  • Physician Assistant
  • Tampa, FL
  • NPI 1518586205

  MA

  Medicare reassignment

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1366462616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE STE 16",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503873",
            "telephone_number": "978-462-7555",
            "fax_number": "978-462-9049"
        },
        {
            "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",
            "fax_number": "978-462-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST ORTHOPEDIC ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "JENELLE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "978-462-7555"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97099329",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seacoast Affiliated Group Practice
• Seacoast Affiliated Group Practice, Inc.
• Seacoast Angels Hospice, LLC
• Seacoast Counseling of Newburyport
• Seacoast Medical Associates, PC
• Seacoast Orthopedics and Sports Medicine LLC
• Seacoast Pain Center, LLC
• Seacoast Pathology Inc.
• Seacoast Regional MRI Inc
• Leslie Jeremy Sebba, M.D.

• Orthopaedic Surgery Physician in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.