Needham Orthopedic and Sports Medicine, LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

NEEDHAM ORTHOPEDIC AND SPORTS MEDICINE, LLC

Practice address

300 Chestnut St
Suite 900
Needham, MA 02492-2497

Phone

(781) 444-5080

Fax

(781) 449-5026

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael L. Corbett, M.D.NPI 1417967373

Title

Managing Member

Phone

(781) 444-5080

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Needham Orthopedic and Sports Medicine, LLC Former legal business name

Locations

Practitioners 1

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

• Michael L Corbett, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Needham, MA
  • NPI 1417967373
  NPD (past) Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1912917840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CHESTNUT ST",
            "address_2": "SUITE 900",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922497",
            "telephone_number": "781-444-5080",
            "fax_number": "781-449-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHESTNUT ST",
            "address_2": "SUITE 900",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922497",
            "telephone_number": "781-444-5080",
            "fax_number": "781-449-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEEDHAM ORTHOPEDIC AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "781-444-5080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MASSACHUSETTS",
            "identifier": "M19911",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "683459",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9725661",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Needham Orthopedic and Sports Medicine, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Needham Public Schools

• Sports Medicine (Orthopaedic Surgery) Physician in Needham, MA
• Providers in Needham, MA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.