Constantine A Misoul, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

D0033522 Issued in MD

Practice address

2131 Maryland Ave
Baltimore, MD 21218-5614

Phone

(410) 234-1600

Fax

(410) 727-4148

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mdde Medical LLC

  • Orthopaedic Surgery Physician
  • Wilmington, DE
  • NPI 1558876011

  Orthopaedic Surgery

  NPD Authorized official
• Harford County Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Edgewood, MD
  • NPI 1487695284
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1194797142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 PULASKI PARK DR",
            "address_2": "SUITE 416",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212201409",
            "telephone_number": "410-933-5678",
            "fax_number": "410-933-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185614",
            "telephone_number": "410-234-1600",
            "fax_number": "410-727-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISOUL",
        "first_name": "CONSTANTINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0033522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "351330",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "972631",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mishpacha Refuah, LLC
• Shelly Mishra, MD
• Hollis M Misiewicz, MSN, CRNP
• Helena Miskowski
• Megan Miskowski, CCC-SLP
• Luis Augusto Mispireta, M.D.
• Amanda Werner Misset, DNP
• Alexander A. Missner, MD
• Lauren Clore Missner, MD
• Binoy Mistry, M.D.

• Orthopaedic Surgery Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Orthopaedic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.