Active NPI
Orthopedic Physicians of Annapolis LLC
Doing business as Orthopedic and Sports Medicine Center
- Prosthetic/Orthotic Supplier
- Bowie, MD
National Provider Identifier
1114168556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- A2505
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- OPA BOWIE O AND P
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
- Adewumi Ademola Oroge, OTR/L
- Orthocare Solutions Inc
- Orthopaedic and Sports Medicine Center LLC
- Orthopaedic and Sports Medicine Center LLC
- Orthopedic Physicians of Annapolis LLC (Ortho and Sports Medicine Center)
- Hannah Oru
- Godspower Osahon
- Deirdra Osborne, MASTERS OF SCIENCE
- Richard Osborne Jr., MS, OTR/L
- Maureen N. Osegbe
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.