NPIMap

Individual provider Active NPI

John J Tierney, DO

  • Specialist
  • Dedham, MA
National Provider Identifier
1417913047
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
76683 Issued in MA
Practice address
200 Providence Hwy
Suite 202
Dedham, MA 02026-1881
Phone
(781) 461-4543
NPI assigned
Apr 22, 2006
Last updated
Jan 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 76683 MA Primary

Addresses

Primary practice location

200 Providence Hwy
Suite 202
Dedham, MA 02026-1881

Mailing address

690 Canton St
Suite 325
Westwood, MA 02090-2321
Phone (781) 407-7713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000158 MA Practitioner - Orthopedic Surgery 6507815214 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Orthopedic Associates, PCGroup PAC ID 1456399955, 2 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians
Nantucket Cottage HospitalGroup PAC ID 1759357601, 91 clinicians
Nantucket Physicians OrganizationGroup PAC ID 6608065438, 22 clinicians

Practice addresses (Care Compare)

200 Providence Hwy
Suite 200
Dedham, MA 02026-1881
Phone (781) 461-4543

3119 Cranberry Hwy
Suite 5
East Wareham, MA 02538-4840
Phone (508) 759-5411

57 Prospect St
Nantucket, MA 02554-2799
Phone (508) 825-8100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement19
Lower limb (leg) arthroscopy (minimally invasive joint repair)17
Upper limb (arm) arthroscopy (minimally invasive joint repair)30
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1328MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nantucket Cottage Hospital CurrentSince Jan 20, 2025 Accepting new patients
Nantucket Cottage Hospital CurrentSince Jan 20, 2025 Accepting new patients
Nantucket Physicians Organization CurrentSince Jan 20, 2025 Accepting new patients
Northeast Orthopedic Associates, PC CurrentSince Mar 15, 2005 Accepting new patients
Northeast Orthopedic Associates, Inc. Past Accepting new patients

Locations

250 Pond St
Braintree, MA 02184
Phone (781) 848-1300

200 Providence Hwy
Ste 200
Dedham, MA 02026
Phone (781) 461-4543

200 Providence Hwy
Ste 202
Dedham, MA 02026
Phone (781) 326-1464

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAHDAA/Endpoint/IAHDAA
  • Direct secure messaging: tierney.john.nch@direct.partners.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1417913047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CANTON ST",
            "address_2": "SUITE 325",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902321",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROVIDENCE HWY",
            "address_2": "SUITE 202",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261881",
            "telephone_number": "781-461-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "76683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

Verify at the official NPI Registry.