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SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC
NPI 1689956831
Specialist in Gloucester, MA

Active since September 14, 2011
1 BLACKBURN DR, SUITE 5, GLOUCESTER, MA 01930(978) 818-6350(978) 818-6355 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sports Medicine North Orthopaedic Surgery, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC (NPI 1689956831) is a healthcare organization registered as a specialist in Gloucester, Massachusetts and active in the NPI registry since September 2011. The organization lists Jeffrey A Polansky, President, as its authorized official.

NPPES Registry Identity

NPI1689956831
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC
Location Address1 BLACKBURN DR, SUITE 5Gloucester, MA 01930-2237
Mailing Address1 Orthopedics DrPeabody, MA 01960-1668 · (978) 818-6350 · Fax (978) 818-6355
Phone(978) 818-6350
Fax(978) 818-6355
Organization SubpartNo
Authorized OfficialJeffrey A PolanskyPresident · (978) 818-6350
Enumeration DateSeptember 14, 2011
Last NPPES UpdateApril 11, 2013
✔ NPI 1689956831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1 BLACKBURN DR, Gloucester, MA 01930
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Other Identifiers 2

Medicaid9773363MA
OtherM15814MA · Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COASTAL ORTHOPEDIC ASSOCIATES INC
Orthopaedic Surgery
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 927-3040
MR. DAVID L. PROBERT P.A.
Physician Assistant
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 281-1500
MISS ALIA CRYSTAL MACPHERSON FNP-BC
Nurse Practitioner (Family)
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 281-1500
NATALIE MEYER NP
Nurse Practitioner (Primary Care)
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 281-1500
STEFANIE BELCHER
Nurse Practitioner
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 281-1500
CHRISTINE SICARD NP
Nurse Practitioner
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 281-1500
JANET E DORAN MD
Internal Medicine
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 281-1500
THOMAS P SMITH MD
Internal Medicine (Hematology)
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 281-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sports Medicine North Orthopaedic Surgery, Inc's NPI number?

The NPI number for Sports Medicine North Orthopaedic Surgery, Inc is 1689956831. It was assigned to this organization in the NPPES registry on September 14, 2011.

Where is Sports Medicine North Orthopaedic Surgery, Inc located?

Sports Medicine North Orthopaedic Surgery, Inc is located at 1 Blackburn Dr Suite 5, Gloucester, MA 01930. The listed phone number is (978) 818-6350.

What is Sports Medicine North Orthopaedic Surgery, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sports Medicine North Orthopaedic Surgery, Inc was last updated on April 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.