Chesapeake Spine, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

D43402 Issued in MD

Legal business name

CHESAPEAKE SPINE, LLC

Practice address

10705 Charter Dr Ste 430
Columbia, MD 21044-2870

Phone

(410) 368-8323

Fax

(410) 368-8324

NPI assigned

Oct 7, 2006

Last updated

Mar 17, 2018By 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

Dr. Lawrence Shin, M.D.NPI 1467456137

Title

Member

Phone

(410) 368-8323

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence Shin, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Columbia, MD
  • NPI 1467456137
  Authorized official Same address or phone

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1265529465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 CHARTER DR STE 430",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442870",
            "telephone_number": "410-368-8323",
            "fax_number": "410-368-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 CHARTER DR STE 430",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442870",
            "telephone_number": "410-368-8323",
            "fax_number": "410-368-8324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3449 Wilkens Ave",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212295281",
            "country_code": "US",
            "telephone_number": "410-368-8323",
            "fax_number": "410-368-8324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHESAPEAKE SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-368-8323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D43402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229961500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cheyenne Chessa

• Specialist in Columbia, MD
• Providers in Columbia, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.