Organization Active NPI

Orthopedic Physicians of Annapolis LLC

Doing business as Orthopedic and Sports Medicine Center

  • Prosthetic/Orthotic Supplier
  • Bowie, MD
National Provider Identifier
1114168556
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
A2505 Issued in MD
Legal business name
ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLC
Doing business as
Orthopedic and Sports Medicine Center
Practice address
4175 N Hanson CT
Suite 302
Bowie, MD 20716-3179
Phone
(410) 268-8862
Fax
(410) 268-0380
NPI assigned
Mar 16, 2009
Organization subpart
Yes
Parent organization
ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
Mr. Mark R Chaput
Title
Executive Director
Phone
(410) 267-5574

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X A2505 MD
Prosthetic/Orthotic Supplier 335E00000X A2505 MD Primary

Addresses

Primary practice location

4175 N Hanson CT
Suite 302
Bowie, MD 20716-3179

Mailing address

2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3742
Phone (410) 268-8862

Other names 2

  • Orthopedic and Sports Medicine Center Doing business as
  • OPA BOWIE O AND P Other name

National Provider Directory

National Provider Directory
Part of
Ortho Phy of Annapo LLC

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1114168556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY",
            "address_2": "SUITE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013742",
            "telephone_number": "410-268-8862",
            "fax_number": "410-268-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 N HANSON CT",
            "address_2": "SUITE 302",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163179",
            "telephone_number": "410-268-8862",
            "fax_number": "410-268-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLC",
        "enumeration_date": "2009-03-16",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "CHAPUT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-267-5574",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "A2505",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MD",
            "license": "A2505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic and Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OPA BOWIE O AND P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.