Organization Active NPI

Greater Baltimore Orthopedic Surgery, LLC

  • Orthopaedic Surgery Physician
  • Rosedale, MD
National Provider Identifier
1487081477
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0054767 Issued in MD
Legal business name
GREATER BALTIMORE ORTHOPEDIC SURGERY, LLC
Practice address
19 Fontana LN
Suite 208-210
Rosedale, MD 21237-3047
Phone
(410) 574-4720
NPI assigned
Oct 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Dr. David B Lumsden, M.D.NPI 1437246832
Title
Owner
Phone
(410) 574-4720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X D0054767 MD Primary

Addresses

Primary practice location

19 Fontana LN
Suite 208-210
Rosedale, MD 21237-3047

Mailing address

19 Fontana LN
Suite 208-210
Rosedale, MD 21237-3047
Phone (410) 574-4720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140206001400 MD Part B Supplier - Clinic/Group Practice 7719116060 Receives reassigned benefits from 1 practitioner
Practice locations: Rosedale, MD

National Provider Directory

National Provider Directory

Locations

19 Fontana Ln
Ste 208210
Rosedale, MD 21237
Phone (410) 574-4720

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1487081477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 FONTANA LN",
            "address_2": "SUITE 208-210",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373047",
            "telephone_number": "410-574-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FONTANA LN",
            "address_2": "SUITE 208-210",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373047",
            "telephone_number": "410-574-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BALTIMORE ORTHOPEDIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "LUMSDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-574-4720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0054767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.