North Shore Center for Orthopedic Surgery & Sports Medicine LLC
NPI 1891447173ActiveOrganization· Orthopaedic Surgery· Danvers, MA
Orthopaedic Surgery in Danvers, Massachusetts, registered in NPPES in January 2022. The authorized official on file is Stacy M. Peterson, D.O., Owner/Manager.
Overview
| NPI | 1891447173 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2022 |
| Last updated in NPPES | Jan 19, 2022 |
| Certified by provider | Jan 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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