NPIMap

Organization Active NPI

Greater Chesapeake Hand Specialists, P.a.

  • Orthopaedic Hand Surgery Physician
  • Lutherville, MD
National Provider Identifier
1104852359
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
GREATER CHESAPEAKE HAND SPECIALISTS, P.A.
Practice address
1400 Front Ave
Suite 100
Lutherville, MD 21093-5300
Phone
(410) 296-6232
NPI assigned
Jun 22, 2006
Last updated
Sep 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Tara Lyn Holicky, MBA
Title
Administrator
Phone
(410) 296-6239

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X

Addresses

Primary practice location

1400 Front Ave
Suite 100
Lutherville, MD 21093-5300

Mailing address

1400 Front Ave
Suite 100
Lutherville, MD 21093-5300
Phone (410) 296-6232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060706000167 MD Part B Supplier - Clinic/Group Practice 5092727206 Receives reassigned benefits from 12 practitioners
Practice locations: Bel Air, MD; Clarksville, MD; Lutherville, MD; Pasadena, MD; Westminster, MD

National Provider Directory

National Provider Directory

Locations

1400 Front Ave
Lutherville, MD 21093
Phone (410) 823-4263

1400 Front Ave
Ste S100
Lutherville Timonium, MD 21093

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1104852359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE",
            "address_2": "SUITE 100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935300",
            "telephone_number": "410-296-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE",
            "address_2": "SUITE 100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935300",
            "telephone_number": "410-296-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CHESAPEAKE HAND SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "HOLICKY",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-296-6239",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.