Active NPI
Boston Arthritis & Spinal Surgery, P.C.
- Orthopaedic Surgery of the Spine Physician
- Brookline, MA
National Provider Identifier
1376588004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 80434
- Legal business name
- BOSTON ARTHRITIS & SPINAL SURGERY, P.C.
- Practice address
- 235 Cypress St
Suite 200
Brookline, MA 02445-6776 - Phone
- (617) 730-9814
- Fax
- (617) 730-9819
- NPI assigned
- Jun 17, 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
- Laura Detoma Swanson
- Title
- Practice Administrator
- Phone
- (617) 730-9814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 80434 | MA | Primary |
Addresses
Primary practice location
235 Cypress St
Suite 200
Brookline, MA 02445-6776
Mailing address
235 Cypress St
Suite 200
Brookline, MA 02445-6776
Phone (617) 730-9814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9784225 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Brighton, MA
- NPI 1477581437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376588004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 CYPRESS ST",
"address_2": "SUITE 200",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024456776",
"telephone_number": "617-730-9814",
"fax_number": "617-730-9819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 CYPRESS ST",
"address_2": "SUITE 200",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024456776",
"telephone_number": "617-730-9814",
"fax_number": "617-730-9819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTON ARTHRITIS & SPINAL SURGERY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SWANSON",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "DETOMA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "617-730-9814"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MA",
"license": "80434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9784225",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, 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.