Organization Active NPI

University of Maryland Orthopaedic Trauma Associates, PA

  • Orthopaedic Surgery Physician
  • Upper Marlboro, MD
National Provider Identifier
1497565469
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
UNIVERSITY OF MARYLAND ORTHOPAEDIC TRAUMA ASSOCIATES, PA
Practice address
901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477
Phone
(410) 448-6400
NPI assigned
Jan 10, 2025
Organization subpart
Yes
Parent organization
UNIVERSITY OF MARYLAND ORTHOPAEDIC TRAUMA ASSOCIATES, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Joshua Godman
Title
Billing Manager
Phone
(667) 214-2732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477

Mailing address

2200 Kernan Dr Ste 1154
Baltimore, MD 21207-6665
Phone (667) 214-2732

National Provider Directory

National Provider Directory
Tax ID family
University of Maryland Orthopaedic Trauma Associates PA21 organizations share this tax ID, including this one
Part of
University of Maryland Orthopaedic Trauma Associates PA

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1497565469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 KERNAN DR STE 1154",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076665",
            "telephone_number": "667-214-2732",
            "fax_number": "410-448-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HARRY S TRUMAN DR N",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745477",
            "telephone_number": "410-448-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND ORTHOPAEDIC TRAUMA ASSOCIATES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF MARYLAND ORTHOPAEDIC TRAUMA ASSOCIATES, PA",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "GODMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "667-214-2732"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.