Boston Spine Group, LLC.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

59668 Issued in MA

Legal business name

BOSTON SPINE GROUP, LLC.

Practice address

299 Washington Street
Newton, MA 02458-1612

Phone

(617) 219-6300

Fax

(617) 219-6355

NPI assigned

May 23, 2006

Last updated

Mar 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Jude Ranco, M.D.

Title

Executive Director

Phone

(617) 219-6300

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• The Boston Spine Group LLC

  dba First Choice Physical Therapy

  • Physical Therapist
  • Southboro, MA
  • NPI 1144450081
  NPPES parent name

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1558316166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4110",
            "address_2": "DEPARTMENT 3110",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018884110",
            "telephone_number": "781-619-0173",
            "fax_number": "781-551-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 WASHINGTON STREET",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581612",
            "telephone_number": "617-219-6300",
            "fax_number": "617-219-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON SPINE GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "RANCO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JUDE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-219-6300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MA",
            "license": "59668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "M19170",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boston Hand to Shoulder PC
• Boston Integrated Recovery Services LLC
• Boston Private Care, LLC (Senior Helpers Boston & South Shore)
• Boston Psychiatry and Wellness LLC
• Boston Spine and Scoliosis
• Boston Spine Teaching and Research Foundation Inc.
• Kelly A Botsoglou, PA
• Alexis Julianna Botte
• Emily Rose Botvin
• Dhalia Abdallah Boumalhab, PA-C

• Orthopaedic Surgery of the Spine Physician in Newton, MA
• Providers in Newton, MA by specialty
• Orthopaedic Surgery of the Spine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.