NPIMap

Individual provider Active NPI

Mark V Clough, M.D.

  • Orthopaedic Surgery Physician
  • Bel Air, MD
National Provider Identifier
1295871713
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
P18101 Issued in MD
Practice address
201 Plumtree Rd
Suite 301
Bel Air, MD 21015-6044
Phone
(410) 569-3326
Fax
(410) 569-3551
NPI assigned
Jan 30, 2007
Last updated
Nov 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X P18101 MD Primary

Addresses

Primary practice location

201 Plumtree Rd
Suite 301
Bel Air, MD 21015-6044

Mailing address

201 Plumtree Rd
Suite 301
Bel Air, MD 21015-6044
Phone (410) 569-3326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000149 MD Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8820142482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Eastern Virginia Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

201 Plumtree Rd
Suite 301
Bel Air, MD 21015-6044
Phone (410) 569-8587

8322 Bellona Ave
Towson, MD 21204-2065

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement21
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
Upper limb (arm) arthroscopy (minimally invasive joint repair)49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P18101MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Orthopaedics, LLC CurrentSince Feb 1, 2013 Accepting new patients
University of Maryland St. Joseph Orthopaedics, LLC Orthopaedic Surgery CurrentSince Feb 1, 2013 Accepting new patients
Orthopaedic Associates, PA Orthopaedic Surgery Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Orthopaedic Associates, PA Past Accepting new patients

Locations

201 Plumtree Rd
Ste 301
Bel Air, MD 21015
Phone (410) 569-3326

9110 Philadelphia Rd
Ste 308
Rosedale, MD 21237
Phone (410) 337-7900

8322 Bellona Ave
Towson, MD 21204
Phone (410) 328-3645

8322 Bellona Ave
Rm 100
Towson, MD 21204
Phone (410) 337-7900

Interoperability endpoints

  • Direct secure messaging: markclough@towsonorth.allscriptsdirect.net
  • Direct secure messaging: mclough115893@direct.umm.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1295871713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PLUMTREE RD",
            "address_2": "SUITE 301",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156044",
            "telephone_number": "410-569-3326",
            "fax_number": "410-569-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PLUMTREE RD",
            "address_2": "SUITE 301",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156044",
            "telephone_number": "410-569-3326",
            "fax_number": "410-569-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUGH",
        "first_name": "MARK",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "P18101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.