NPIMap

Organization Active NPI

Premier Orthopedics, P.a.

  • Orthopaedic Surgery Physician
  • Laurel, MD
National Provider Identifier
1518096239
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PREMIER ORTHOPEDICS, P.A.
Practice address
545 Main St
Suite 217
Laurel, MD 20707-4351
Phone
(301) 776-2000
Fax
(301) 776-2806
NPI assigned
Mar 6, 2007
Last updated
Apr 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Myra Busch
Title
Practice Group Coordinator
Phone
(410) 461-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

545 Main St
Suite 217
Laurel, MD 20707-4351

Mailing address

3570 Saint Johns LN
Ellicott City, MD 21042-4020
Phone (410) 461-9500

National Provider Directory

National Provider Directory
Tax ID family
Premier Orthopedics PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

545 Main St
Ste 217
Laurel, MD 20707
Phone (301) 776-2000

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1518096239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 SAINT JOHNS LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424020",
            "telephone_number": "410-461-9500",
            "fax_number": "410-461-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 MAIN ST",
            "address_2": "SUITE 217",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074351",
            "telephone_number": "301-776-2000",
            "fax_number": "301-776-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPEDICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "PRACTICE GROUP COORDINATOR",
        "authorized_official_telephone_number": "410-461-9500"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.