Baltimore Washington Professional Services Inc

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

BALTIMORE WASHINGTON PROFESSIONAL SERVICES INC

Practice address

305 Hospital Dr
Suite 303
Glen Burnie, MD 21061-5805

Phone

(410) 553-8290

Fax

(410) 553-8288

NPI assigned

Aug 9, 2010

Organization subpart

No

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

Authorized official

Name

Rebecca L Paesch

Title

Director

Phone

(410) 787-4879

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BWMC Spine Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• University of Maryland Medical Center, LLC

  • Methadone Clinic
  • Baltimore, MD
  • NPI 1407177447

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelley Banagan, MD

  • Orthopaedic Surgery of the Spine Physician
  • Charleston, SC
  • NPI 1851435408
  NPD (past)
• Theresa Marie Marotta, PA-C

  • Physician Assistant
  • Indianapolis, IN
  • NPI 1275881450
  NPD (past)

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1295040756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62544",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212642544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 HOSPITAL DR",
            "address_2": "SUITE 303",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615805",
            "telephone_number": "410-553-8290",
            "fax_number": "410-553-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE WASHINGTON PROFESSIONAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "PAESCH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-787-4879"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS BLUE SHIELD",
            "identifier": "CPD3BW",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CROSS BLUE SHIELD",
            "identifier": "W763",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BWMC Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baltimore Washington Medical Center Inc.
• Baltimore Washington Medical Center Inc.
• Baltimore Washington Medical Center Inc.
• Baltimore Washington Medical Center Inc.
• Baltimore Washington Medical Center Inc.
• Baltimore Washington Professional Services Inc
• Baltimore Washington Professional Services Inc.
• Baltimore Washington Professional Services Inc.
• Baltimore Washington Professional Services Inc.
• Baltimore Work Rehabilitation

• Orthopaedic Surgery of the Spine Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Orthopaedic Surgery of the Spine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.