NPIMap

Organization Active NPI

University of Maryland St. Joseph Orthopaedics, LLC

  • Durable Medical Equipment & Medical Supplies
  • Baltimore, MD
National Provider Identifier
1043864002
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC
Practice address
9110 Philadelphia Rd Ste 308
Baltimore, MD 21237-4327
Phone
(410) 337-7900
Fax
(410) 391-8084
NPI assigned
Jul 29, 2019
Organization subpart
Yes
Parent organization
UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Paul Stephen Nicholson
Title
Cfo
Phone
(410) 337-1602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

9110 Philadelphia Rd Ste 308
Baltimore, MD 21237-4327

Mailing address

8322 Bellona Ave Ste 204
Towson, MD 21204-2065
Phone (410) 337-7900

Other identifiers 1

IdentifierTypeStateIssuer
4216709MedicaidMD

Other names 1

  • Ruxton Orthotics & Medical Supplies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190930001127 MD DME Supplier - Physician - General PracticeDME Supplier - Orthotic Personnel 0941455794 Practice locations: Baltimore, MD

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
University of Maryland St. Joseph O9110 Philadelphia Rd, Baltimore, MD 21237-432741061614201593 Contracture Treatment Devices: Dynamic Splint|Osteogenesis Stimulators|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Feb 1, 2013

National Provider Directory

National Provider Directory
Tax ID family
University of Maryland St J7 organizations share this tax ID, including this one
Part of
University of Maryland St J

Other organizations with this tax ID 6

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": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1043864002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE STE 204",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042065",
            "telephone_number": "410-337-7900",
            "fax_number": "410-769-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 PHILADELPHIA RD STE 308",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374327",
            "telephone_number": "410-337-7900",
            "fax_number": "410-391-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-337-1602"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4216709",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruxton Orthotics & Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.