Active NPI
Koman Orthopedics and Sports Medicine
- Durable Medical Equipment & Medical Supplies
- Reisterstown, MD
National Provider Identifier
1497202444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- KOMAN ORTHOPEDICS AND SPORTS MEDICINE
- Practice address
- 116 Westminster Pike
Suite 100
Reisterstown, MD 21136-1027 - Phone
- (410) 833-9300
- Fax
- (855) 485-4166
- NPI assigned
- Sep 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jon Koman, M.D.
- Title
- President
- Phone
- (410) 833-9300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
116 Westminster Pike
Suite 100
Reisterstown, MD 21136-1027
Mailing address
116 Westminster Pike
Suite 100
Reisterstown, MD 21136-1027
Phone (410) 833-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 468303000 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Koman Orthopedics and Sports Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Reisterstown, MD
- NPI 1679976815
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIAGCA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Reisterstown, MD
- NPI 1215925128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473206400000",
"number": "1497202444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 WESTMINSTER PIKE",
"address_2": "SUITE 100",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211361027",
"telephone_number": "410-833-9300",
"fax_number": "855-485-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 WESTMINSTER PIKE",
"address_2": "SUITE 100",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211361027",
"telephone_number": "410-833-9300",
"fax_number": "855-485-4166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOMAN ORTHOPEDICS AND SPORTS MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A",
"authorized_official_last_name": "KOMAN",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-833-9300",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "468303000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.