Organization Active NPI

Parkway Orthopedics & Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Roslindale, MA
National Provider Identifier
1457341331
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
46262 Issued in MA
Legal business name
PARKWAY ORTHOPEDICS & SPORTS MEDICINE
Practice address
968 South St
Roslindale, MA 02131-2314
Phone
(617) 323-3334
Fax
(617) 327-9330
NPI assigned
Oct 24, 2005
Last updated
Sep 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Mrs. Christine Soares
Title
Billing
Phone
(508) 679-9032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 46262 MA Primary

Addresses

Primary practice location

968 South St
Roslindale, MA 02131-2314

Mailing address

968 South St
Roslindale, MA 02131-2314
Phone (617) 323-3334

Other identifiers 1

IdentifierTypeStateIssuer
0157082MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1457341331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 SOUTH ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312314",
            "telephone_number": "617-323-3334",
            "fax_number": "617-327-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 SOUTH ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312314",
            "telephone_number": "617-323-3334",
            "fax_number": "617-327-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY ORTHOPEDICS & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "SOARES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "508-679-9032",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MA",
            "license": "46262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157082",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.