NPIMap

Individual provider Active NPI

Ruth M Odachowski, PA

  • Physician Assistant
  • Westminster, MD
National Provider Identifier
1467413989
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C003248 Issued in MD
Practice address
844 Washington Rd
Suite 102
Westminster, MD 21157-6664
Phone
(410) 871-0088
Fax
(410) 871-0083
NPI assigned
Apr 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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 C003248 MD Primary

Addresses

Primary practice location

844 Washington Rd
Suite 102
Westminster, MD 21157-6664

Mailing address

535 Old Westminster Pike
Suite 102
Westminster, MD 21157-6267
Phone (410) 871-6864

Other names 1

  • Ruth M Wilson Former name

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
I20060323000265 MD Practitioner - Physician Assistant 8921016510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-6000

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C003248MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc Physician Assistant CurrentSince Jan 13, 2006 Accepting new patients
Carroll Health Group, LLC CurrentSince Jul 1, 2015 Accepting new patients
St Agnes Healthcare Inc CurrentSince Jan 13, 2006 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 1, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Carroll Health Group, LLC PastSince Apr 27, 2025 Accepting new patients

Locations

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

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

3421 Benson Ave
Ste 100
Halethorpe, MD 21227
Phone 4106441880142

844 Washington Rd
Ste 102
Westminster, MD 21157
Phone (410) 227-2056

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

Interoperability endpoints

  • Direct secure messaging: 17rodachowski@cfaortho.emadirect.md

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1467413989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 OLD WESTMINSTER PIKE",
            "address_2": "SUITE 102",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576267",
            "telephone_number": "410-871-6864",
            "fax_number": "410-871-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON RD",
            "address_2": "SUITE 102",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576664",
            "telephone_number": "410-871-0088",
            "fax_number": "410-871-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODACHOWSKI",
        "first_name": "RUTH",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-01",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C003248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "WILSON",
            "middle_name": "M",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.