NPIMap

Organization Active NPI

Springside Health PC

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1306774724
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SPRINGSIDE HEALTH PC
Practice address
12210 Plum Orchard Dr Ste 217
Silver Spring, MD 20904-7911
Phone
(410) 357-1125
Fax
(410) 357-1125
NPI assigned
May 13, 2026
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Jodi Bosanko
Title
Office Manager
Phone
(410) 357-1125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

12210 Plum Orchard Dr Ste 217
Silver Spring, MD 20904-7911

Mailing address

647 Ridgely Ave Ste 140
Annapolis, MD 21401-1069
Phone (410) 357-1125

National Provider Directory

National Provider Directory
Tax ID family
Springside Health PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1306774724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 RIDGELY AVE STE 140",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011069",
            "telephone_number": "410-357-1125",
            "fax_number": "410-357-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12210 PLUM ORCHARD DR STE 217",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047911",
            "telephone_number": "410-357-1125",
            "fax_number": "410-357-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGSIDE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "BOSANKO",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-357-1125"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.