Organization Active NPI

Susquehanna Orthopaedic Associates John P O'Hearn MD LLC

  • Clinic/Center
  • Forest Hill, MD
National Provider Identifier
1346621737
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
M06162 Issued in MD
Legal business name
SUSQUEHANNA ORTHOPAEDIC ASSOCIATES JOHN P O'HEARN MD LLC
Practice address
2 Colgate Dr
Suite 204
Forest Hill, MD 21050-2624
Phone
(410) 879-9636
Fax
(410) 879-0376
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Dr. John P O'Hearn, MD
Title
Surgeon
Phone
(410) 879-9636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X M06162 MD Primary

Addresses

Primary practice location

2 Colgate Dr
Suite 204
Forest Hill, MD 21050-2624

Mailing address

2 Colgate Dr
Suite 204
Forest Hill, MD 21050-2624
Phone (410) 879-9636

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1346621737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COLGATE DR",
            "address_2": "SUITE 204",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502624",
            "telephone_number": "410-879-9636",
            "fax_number": "410-879-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLGATE DR",
            "address_2": "SUITE 204",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502624",
            "telephone_number": "410-879-9636",
            "fax_number": "410-879-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA ORTHOPAEDIC ASSOCIATES JOHN P O'HEARN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "O'HEARN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "410-879-9636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "M06162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.