Individual provider Active NPI

John Mark Blue, MD

  • Orthopaedic Surgery Physician
  • Westminster, MD
National Provider Identifier
1275579997
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0050329 Issued in MD
Practice address
844 Washington Road
Suite 102
Westminster, MD 21157
Phone
(410) 871-0088
Fax
(410) 871-0083
NPI assigned
Jun 21, 2006
Last updated
Jul 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D0050329 MD Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X D50329 MD

Addresses

Primary practice location

844 Washington Road
Suite 102
Westminster, MD 21157

Mailing address

PO Box 900
Westminster, MD 21158-0900
Phone (410) 871-6502

Other identifiers 1

IdentifierTypeStateIssuer
811900700MedicaidMD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090520000270 MD Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4880776202 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19328SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Health Group, LLC Orthopaedic Surgery CurrentSince Jan 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Carroll Orthopaedic Specialists Sports Medicine Past Accepting new patients
Greater Chesapeake Orthopedics Associates, LLC Past Accepting new patients

Locations

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

193 Stoner Ave
Ste 310
Westminster, MD 21157
Phone (410) 751-2363

844 Washington Rd
Ste 102
Westminster, MD 21157
Phone (410) 296-6232

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1275579997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211580900",
            "telephone_number": "410-871-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON ROAD",
            "address_2": "SUITE 102",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-871-0088",
            "fax_number": "410-871-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0050329",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MD",
            "license": "D50329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811900700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.