J.EDMOND LLC
Neuromusculoskeletal Medicine & OMM

Address: 1330 Boylston St Unit 809, Boston, MA 02215-5524

J.EDMOND LLC (NPI# 1619567195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619567195
Entity Type Organization
Organization Name J.EDMOND LLC
Practice Address 1330 Boylston St Unit 809
Boston
MA 02215-5524
Practice Telephone 4109354608
Mailing Address 1330 Boylston St Unit 809
Boston
MA 02215-5524
Mailing Telephone 4109354608
Certification Date 2021-01-19
Enumeration Date 2021-01-19
Last Update Date 2021-01-19
Authorized Official Telephone 4109354608
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 204D00000X Neuromusculoskeletal Medicine & OMM 193400000X SINGLE SPECIALTY GROUP Allopathic & Osteopathic Physicians

Office Location

Street Address 1330 BOYLSTON ST UNIT 809
City BOSTON
State MA
Zip Code 02215-5524

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1336746775 Lee T Gernon-Lakin Physician Assistant 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 2020-10-08
1821695933 Matthew John Needham Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 2020-10-02
1114533866 Cdg Back Bay LLC Clinic/Center · Dental 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 2020-09-18
1619595105 Natasha Larocque Radiology · Diagnostic Radiology 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 2020-07-10
1538783089 Yutsz Cherng Counselor · Mental Health 870r Commonwealth Avenue, Boston, MA 02215 2020-06-01
1306495924 Anthony Rosellini Psychologist · Clinical 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 2019-09-06
1427605278 Liana Zucco Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 2019-08-26
1831759430 Brian William Hayes Radiology · Neuroradiology 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 2019-06-17
1396304358 Elizabeth Hai Yen Du Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 2019-06-12
1922665439 Corey Shaphard Miller Student in an Organized Health Care Education/Training Program 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 2019-05-21
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Taxonomy Information

Taxonomy Code 204D00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine & OMM

Taxonomy Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition]
- Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043506926 Thomas Paul Macari 40 Salem St Bldg 3, Suite 3, Lynnfield, MA 01940-2673 2011-06-20
1578752606 Funtional Medicine Group Inc 88 Sandwich St, Plymouth, MA 02360-3334 2007-10-15
1518160837 James Scott Wrede, D.o., LLC 109a County Rd, North Falmouth, MA 02556-2019 2007-06-06
1952525412 James H Gronemeyer 290 Massachusetts Ave, Arlington, MA 02474-8305 2007-04-13
1881732386 Wayne Dillard, D.o. 80 Erdman Way Ste 309, Leominster, MA 01453-1818 2007-02-05
1548316508 Judith Victoria Aldrich 42 Summer St Ste 301, Pittsfield, MA 01201 2007-01-25
1023190634 James Scott Wrede 109 County Rd # A, North Falmouth, MA 02556-2019 2006-10-20
1326097486 Hallie J Robbins 207 Oregon Rd, Ashland, MA 01721-1048 2006-05-08
1851351506 William A Seeglitz Jr. 437 Newtonville Ave, Suite 3, Newtonville, MA 02460-1934 2006-03-26
1598740227 William Foley 134 Rumford Ave, Suite 206, Newton, MA 02466-1316 2005-12-15
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City BOSTON
Zip Code 02215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.