Upper Chesapeake Orthopedics, LLC
Organization Active NPI Orthopaedic Surgery Physician · Bel Air, MD
NPI 1003663196 · NPPES record last updated May 6, 2024
Key facts
- NPI
- 1003663196
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- UPPER CHESAPEAKE ORTHOPEDICS, LLC
- Practice address
- 515 S Tollgate Rd Ste 200
Bel Air, MD 21014-5234 - Phone
- (443) 643-3130
- NPI assigned
- May 6, 2024
- Organization subpart
- No
Authorized official
- Name
- Marcus Thomas Augustus Priolo
- Title
- Ao
- Phone
- (443) 643-3344
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Upper Chesapeake Orthopedics LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
515 S Tollgate Rd Ste 200
Bel Air, MD 21014-5234
Mailing address
900 Elkridge Landing Rd FL 2
Linthicum, MD 21090-2924
Phone (443) 462-5010
NPI Registry JSON
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714953600000",
"number": "1003663196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 ELKRIDGE LANDING RD FL 2",
"city": "LINTHICUM",
"state": "MD",
"postal_code": "210902924",
"telephone_number": "443-462-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 S TOLLGATE RD STE 200",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210145234",
"telephone_number": "443-643-3130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPPER CHESAPEAKE ORTHOPEDICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A",
"authorized_official_last_name": "PRIOLO",
"authorized_official_first_name": "MARCUS",
"authorized_official_middle_name": "THOMAS AUGUSTUS",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "443-643-3344"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
- Upper Chesapeake Medical Center, Inc.
- Upper Chesapeake Medical Center, Inc.
- Upper Chesapeake Medical Services, Inc
- Upper Chesapeake Medical Services, Inc.
- Upper Chesapeake Medical Services, Inc.
- Upper Chesapeake Orthopedics, LLC
- Upper Chesapeake Orthopedics, LLC
- Upper Chesapeake Orthopedics, LLC
- Upper Chesapeake Orthopedics, LLC
- Upper Chesapeake Orthopedics, LLC
All providers in Bel Air, MD · Orthopaedic Surgery Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.