North Bay Orthopaedics, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NORTH BAY ORTHOPAEDICS, LLC

Practice address

421 S Union Ave
Suite 300
Havre de Grace, MD 21078-3300

Phone

(410) 939-7077

Fax

(410) 939-7983

NPI assigned

Feb 7, 2008

Last updated

Jan 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Watt

Title

Office Manager

Phone

(410) 939-7077

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1245418607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S UNION AVE",
            "address_2": "SUITE 300",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783300",
            "telephone_number": "410-939-7077",
            "fax_number": "410-939-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S UNION AVE",
            "address_2": "SUITE 300",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783300",
            "telephone_number": "410-939-7077",
            "fax_number": "410-939-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY ORTHOPAEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-939-7077"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "D57143",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Havre de Grace, MD
• Providers in Havre de Grace, 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 Jan 26, 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.