Active NPI
Chesapeake Bone and Joint Center, LLC
- Orthopaedic Surgery Physician
- Elkton, MD
National Provider Identifier
1104949254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- H0063647
- Legal business name
- CHESAPEAKE BONE AND JOINT CENTER, LLC
- Practice address
- 160 Railroad Ave
Elkton, MD 21921-5538 - Phone
- (410) 996-8686
- Fax
- (410) 398-8997
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Mills
- Title
- Credentialing
- Phone
- (410) 996-8686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | H0063647 | MD | Primary |
Addresses
Primary practice location
160 Railroad Ave
Elkton, MD 21921-5538
Mailing address
160 Railroad Ave
Elkton, MD 21921-5538
Phone (410) 996-8686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051117000404 | MD | Part B Supplier - Clinic/Group Practice | 8224057377 |
Receives reassigned benefits from 1 practitioner Practice locations: Elkton, MD |
National Provider Directory
National Provider DirectoryLocations
160 Railroad Ave
Elkton, MD 21921
Phone (302) 999-8511
161 Big Elk Mall
#40
Elkton, MD 21921
Phone (410) 392-6315
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768176000000",
"number": "1104949254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 RAILROAD AVE",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215538",
"telephone_number": "410-996-8686",
"fax_number": "410-398-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 RAILROAD AVE",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215538",
"telephone_number": "410-996-8686",
"fax_number": "410-398-8997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESAPEAKE BONE AND JOINT CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "410-996-8686"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "H0063647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, MD
- Changing Tides Therapeutic & Consultative Services, LLC
- Samuel G Charles, D.C.
- Cheapeake Behavioral Health PA
- Cherian & Ganta Dental Associates, LLC
- Chesapeake Bay Surgery Center, LLC
- Chesapeake ENT/Plastic Facial Surgery
- Chesapeake Neurology Services, P.a.
- Chesapeake Surgical Services, LLC
- Chesapeake Urology Associates P.a.
- Chesapeake Urology Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.