Spine and Ortho of Ma

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SPINE AND ORTHO OF MA

Practice address

822 Boylston St Ste 100
Chestnut Hill, MA 02467-2504

Phone

(561) 507-0800

Fax

(561) 600-8705

NPI assigned

Nov 30, 2023

Organization subpart

No

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

Authorized official

Name

Mioka Combs

Title

Sec

Phone

(351) 227-7005

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Chelsea Walker, PA-C

  • Physician Assistant
  • West Palm Beach, FL
  • NPI 1366041642
  NPD
• Paul A Glazer, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Chestnut Hill, MA
  • NPI 1750321287
  NPD (past)
• Jacquelin Walker, ARNP

  • Family Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1952817512
  NPD (past)

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1891561874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14283 71ST PL N",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704463",
            "telephone_number": "561-507-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 BOYLSTON ST STE 100",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672504",
            "telephone_number": "561-507-0800",
            "fax_number": "561-600-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND ORTHO OF MA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "MIOKA",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "351-227-7005"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Leigh Sorenson
• Ximena Castelazo Soto, MSW
• Angelos Sourpis, M.D.
• Elizabeth Elaine Sparks, PH.D.
• Onir Leshem Spiegel, DDS
• SRC Chestnut Hill Alf, LLC
• SRC Chestnut Hill SNF, LLC
• Kelly Stamp, PHD, ANP
• Elizabeth Mary Stankiewicz, N.P.
• Star Optometry Ma PLLC

• Nurse Practitioner in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.