Individual provider Active NPI

Max Andrew Grayton, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1356064687
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0008633 Issued in MD
Practice address
2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209-3746
Phone
(410) 377-8900
Fax
(410) 377-0576
NPI assigned
Sep 21, 2022
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0008633 MD Primary

Addresses

Primary practice location

2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209-3746

Mailing address

2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209-3746
Phone (410) 377-8900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221201002045 MD Practitioner - Physician Assistant 5395113930 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Hospital Center IncGroup PAC ID 6204739352, 90 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 701-4434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0008633MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 1, 2024 Accepting new patients
St Agnes Healthcare Inc Physician Assistant CurrentSince Nov 21, 2022 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 1, 2024 Accepting new patients
Northwest Hospital Center, Inc. CurrentSince Aug 21, 2023 Accepting new patients
Northwest Hospital Center, Inc Physician Assistant CurrentSince Aug 21, 2023 Accepting new patients
St Agnes Healthcare Inc CurrentSince Nov 21, 2022 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

2700 Quarry Lake Dr
Ste 300
Baltimore, MD 21209

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

3585 Washington Blvd
Halethorpe, MD 21227

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

Interoperability endpoints

  • Direct secure messaging: 38mgrayton@cfaortho.emadirect.md

Organizations & group practices 8

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1356064687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093746",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093746",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYTON",
        "first_name": "MAX",
        "middle_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.