NORTH SHORE CENTER FOR ORTHOPEDIC SURGERY & SPORTS MEDICINE LLC
NPI 1891447173
Orthopaedic Surgery in Danvers, MA

Active since January 19, 2022
4 STATE RD, DANVERS, MA 01923(978) 774-3400(978) 774-5883 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Orthopaedic Surgery

About NORTH SHORE CENTER FOR ORTHOPEDIC SURGERY & SPORTS MEDICINE LLC

This page provides the complete NPI Profile along with additional information for North Shore Center For Orthopedic Surgery & Sports Medicine Llc, a provider established in Danvers, Massachusetts operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1891447173 assigned on January 2022. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. North Shore Center For Orthopedic Surgery & Sports Medicine Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Stacy M Peterson D.o. (Owner/manager)

NPI
1891447173 Verify this NPI
Provider Name
NORTH SHORE CENTER FOR ORTHOPEDIC SURGERY & SPORTS MEDICINE LLC
Entity Type
Organization
Location Address
4 STATE RD DANVERS, MA 01923
Location Phone
(978) 774-3400
Location Fax
(978) 774-5883
Mailing Address
4 STATE RD DANVERS, MA 01923
Mailing Phone
(978) 774-3400
Mailing Fax
(978) 774-5883
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2022
Last Update Date
01-19-2022
Code Navigator

Location Map

Secondary Locations

  • 100 Highland Ave Ste 101
    Salem, MA 01970
    (978) 745-0820

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207XX0005XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Sports Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. STACY M PETERSON D.O.

Authorized Official Title
OWNER/MANAGER
Authorized Official Phone
(978) 774-3400

Reviews for NORTH SHORE CENTER FOR ORTHOPEDIC SURGERY & SPORTS MEDICINE LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Physical Therapist
4 STATE RD
DANVERS, MA 01923
Orthopaedic Surgery
4 STATE RD
DANVERS, MA 01923
Orthopaedic Surgery
4 STATE RD
DANVERS, MA 01923
Orthopaedic Surgery
4 STATE RD
DANVERS, MA 01923
Physical Therapist
4 STATE RD
DANVERS, MA 01923
Orthopaedic Surgery
4 STATE RD
DANVERS, MA 01923
Orthopaedic Surgery (Sports Medicine)
4 STATE RD
DANVERS, MA 01923
Orthopaedic Surgery
4 STATE RD
DANVERS, MA 01923
Orthopaedic Surgery
4 STATE RD
DANVERS, MA 01923
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4 STATE RD
DANVERS, MA 01923
Orthopaedic Surgery
4 STATE RD
DANVERS, MA 01923

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891447173, enumerated as an "organization" on January 19, 2022.

The provider is located at 4 STATE RD DANVERS, MA 01923 and the phone number is (978) 774-3400.

Orthopaedic Surgery with taxonomy code 207X00000X.