NPIMap

Organization Active NPI

Memorial Hospital and Medical Center of Cumberland Inc

  • Orthopaedic Surgery Physician
  • Cumberland, MD
National Provider Identifier
1003936725
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND INC
Practice address
600 Memorial Ave
Cumberland, MD 21502-3765
Phone
(301) 723-4100
Fax
(301) 723-1480
NPI assigned
Mar 29, 2007
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kimberly S Repac
Title
Sr VP Cfo
Phone
(301) 723-6414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

600 Memorial Ave
Cumberland, MD 21502-3765

Mailing address

600 Memorial Ave
Cumberland, MD 21502-3765
Phone (301) 723-4100

Other identifiers 4

IdentifierTypeStateIssuer
0043316000MedicaidWV
KV04MEOtherMDBC BS
CH1651 CC2609OtherMDTRAVELERS MEDICARE
E458OtherDCFEDERAL BC BS

Other names 1

  • Memorial Hospital Orthopaedic Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital9 organizations share this tax ID, including this one
Part of
Memorial Hospital

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1003936725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023765",
            "telephone_number": "301-723-4100",
            "fax_number": "301-723-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023765",
            "telephone_number": "301-723-4100",
            "fax_number": "301-723-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "REPAC",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "301-723-6414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0043316000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "KV04ME",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CH1651   CC2609",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BC BS",
            "identifier": "E458",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospital Orthopaedic Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.