Organization Active NPI

Chesapeake Bone and Joint Center, LLC

  • Orthopaedic Surgery Physician
  • Elkton, MD
National Provider Identifier
1104949254
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H0063647 Issued in MD
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

Updated by the provider on Jan 12, 2026

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20051117000404 MD Part B Supplier - Clinic/Group Practice 8224057377 Receives reassigned benefits from 1 practitioner
Practice locations: Elkton, MD

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.