Organization Active NPI

Boston Orthopaedic Urgent Care, LLC

  • Orthopaedic Surgery Physician
  • Boston, MA
National Provider Identifier
1841676905
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BOSTON ORTHOPAEDIC URGENT CARE, LLC
Practice address
23 Ridgeway LN
Boston, MA 02114-4206
Phone
(617) 236-5893
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Dr. Frank X Pedlow Jr., MD
Title
President
Phone
(617) 236-5893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

23 Ridgeway LN
Boston, MA 02114-4206

Mailing address

23 Ridgeway LN
Boston, MA 02114-4206
Phone (617) 236-5893

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1841676905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RIDGEWAY LN",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144206",
            "telephone_number": "617-236-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 RIDGEWAY LN",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144206",
            "telephone_number": "617-236-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON ORTHOPAEDIC URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "PEDLOW",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-236-5893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.