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Contact Information

SOUTH SHORE ORTHOPEDICS LLC
2 POND PARK
SUITE 102
HINGHAM, MA02043
 Phone: 781-337-5555
 Fax: 781-335-6047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SOUTH SHORE ORTHOPEDICS LLC

NPI # 1720285018
LBN Legal business name SOUTH SHORE ORTHOPEDICS LLC
Authorized official MICHAEL AYERS - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/29/2007
Last updated 09/15/2011 - About 15 years ago
Identifiers
MA License # 154105
MA Medicaid 9792040
Other 34684 FALLON
Other 0003906 MEDICARE
Other 72024 NEIGHBORHOOD HEALTH PLAN
Other 671125 TUFTS HEALTH PLAN
MA Other M19412 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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