Mid Atlantic Spine & Orthopaedics, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

D0024332 Issued in MD

Legal business name

MID ATLANTIC SPINE & ORTHOPAEDICS, LLC

Practice address

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

Phone

(410) 553-8290

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Randy F Davis, M.D.

Title

Owner

Phone

(410) 553-8290

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• John P Yingling, P.A.C.

  • Physician Assistant
  • Severna Park, MD
  • NPI 1689749137
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396949848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC SPINE & ORTHOPAEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-553-8290",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0024332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "K894",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Merryman, CRNA
• Michael B. Herr, M.D., P.a.
• Bishoy Emeel Michael, MD
• Meredith Ann Michael, R.N.
• Jane Lenore Miclay, PA-C
• Mid-Atlantic Nephrology Associates PA
• Angela Miliman, CRNP-F
• Brooke Milleker
• Danielle Miller, LGPC
• Jamie Lynn Miller

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.