Organization Active NPI

Orthoboston LLC

  • Medical Specialty Clinic/Center
  • Needham, MA
National Provider Identifier
1841714201
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ORTHOBOSTON LLC
Doing business as
ORTHOBOSTON
Practice address
145 Rosemary St Ste J
Needham, MA 02494-3259
Phone
(781) 429-7700
Fax
(781) 429-7701
NPI assigned
Jul 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Dr. Timothy August Hartshorn, MDNPI 1043446503
Title
Managing Partner
Phone
(781) 429-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

145 Rosemary St Ste J
Needham, MA 02494-3259

Mailing address

145 Rosemary St Ste J
Needham, MA 02494-3259

Other names 1

  • ORTHOBOSTON Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180227000315 MA Part B Supplier - Clinic/Group Practice 6002177557 Receives reassigned benefits from 3 practitioners
Practice locations: Needham, MA
O20180803000696 MA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6002177557 Practice locations: Needham, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1841714201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ROSEMARY ST STE J",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ROSEMARY ST STE J",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943259",
            "telephone_number": "781-429-7700",
            "fax_number": "781-429-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOBOSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "HARTSHORN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "AUGUST",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "781-429-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTHOBOSTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.