Active NPI
Center for Computer Assisted and Reconstructive Surgery Inc
- Specialist
- Boston, MA
National Provider Identifier
1891986105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 58245
- Legal business name
- CENTER FOR COMPUTER ASSISTED AND RECONSTRUCTIVE SURGERY INC
- Practice address
- 125 Parker Hill Avenue
Suite 545
Boston, MA 02120 - Phone
- (617) 232-3040
- Fax
- (617) 754-6436
- NPI assigned
- Aug 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Michelle Mary Simpson-Murphy
- Title
- Office Manager
- Phone
- (617) 232-3040
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 58245 | MA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 58245 | MA |
Addresses
Primary practice location
125 Parker Hill Avenue
Suite 545
Boston, MA 02120
Mailing address
61 Wedgemere Avenue
Winchester, MA 01890
Phone (617) 232-3040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 694495 | Other | MA | TUFTS |
| CEM18202 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
125 Parker Hill Ave
Ste 545
Roxbury Crossing, MA 02120
Phone (617) 232-3040
Practitioners & affiliated clinicians
Practitioners 1
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": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623283200000",
"number": "1891986105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 WEDGEMERE AVENUE",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "01890",
"telephone_number": "617-232-3040",
"fax_number": "617-754-6436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PARKER HILL AVENUE",
"address_2": "SUITE 545",
"city": "BOSTON",
"state": "MA",
"postal_code": "02120",
"telephone_number": "617-232-3040",
"fax_number": "617-754-6436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR COMPUTER ASSISTED AND RECONSTRUCTIVE SURGERY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A",
"authorized_official_last_name": "SIMPSON-MURPHY",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "617-232-3040",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": "58245",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "58245",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "694495",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "CEM18202",
"state": "MA"
}
],
"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 Jun 10, 2021; 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.