Greater Boston Orthopaedic Associates

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

47190 Issued in MA

Legal business name

GREATER BOSTON ORTHOPAEDIC ASSOCIATES

Practice address

54 Miller St
4TH Floor
Quincy, MA 02169-4725

Phone

(617) 376-5656

Fax

(617) 376-1662

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leonid Dabuzhsky, M.D.

Title

Director

Phone

(617) 376-5656

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Mark J Bulman, M.D.

  • Orthopaedic Surgery Physician
  • Norwell, MA
  • NPI 1770556664
  NPD (past)
• Peter Dewire, MD

  • Orthopaedic Surgery Physician
  • Quincy, MA
  • NPI 1063400349
  NPD (past)
• Maia E Goodall, PA-C

  • Physician Assistant
  • Boston, MA
  • NPI 1457378317
  NPD (past)
• Thomas Michael Mitchell, M.D.

  • Orthopaedic Surgery Physician
  • Rockport, ME
  • NPI 1215983473
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1790730513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MILLER ST",
            "address_2": "4TH FLOOR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694725",
            "telephone_number": "617-376-5656",
            "fax_number": "617-376-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MILLER ST",
            "address_2": "4TH FLOOR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694725",
            "telephone_number": "617-376-5656",
            "fax_number": "617-376-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON ORTHOPAEDIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "DABUZHSKY",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-376-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "47190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110067083A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Graham
• Granite Medical Group Inc
• William Oneil Graves
• Heather Gray
• Debra Grealish, RN
• Greater Boston Orthopedic Associates LLC
• Greater Boston Smiles Pediatric Dentistry PLLC
• Greater Boston Smiles Pediatric Dentistry, PC
• Robert Greeley, LCSW
• Jillian Green, B.A.

• Orthopaedic Surgery Physician in Quincy, MA
• Providers in Quincy, 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 Mar 3, 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.