Active NPI
Premier Orthopedics, P.a.
- Orthopaedic Surgery Physician
- Frederick, MD
National Provider Identifier
1528197258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- PREMIER ORTHOPEDICS, P.A.
- Practice address
- 75 Thomas Johnson Dr
Suite N
Frederick, MD 21702-4895 - Phone
- (301) 663-0009
- Fax
- (301) 695-8633
- NPI assigned
- Mar 6, 2007
- Last updated
- Apr 22, 2015
- 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
- Myra Busch
- Title
- Practice Coordinator
- Phone
- (410) 461-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
75 Thomas Johnson Dr
Suite N
Frederick, MD 21702-4895
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 PA
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Laurel, MD
- NPI 1518096239
-
- Orthopaedic Surgery Physician
- Clinton, MD
- NPI 1588051155
-
- Orthopaedic Surgery Physician
- Owings Mills, MD
- NPI 1629107354
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": "1528197258",
"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": "75 THOMAS JOHNSON DR",
"address_2": "SUITE N",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024895",
"telephone_number": "301-663-0009",
"fax_number": "301-695-8633"
}
],
"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 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 Frederick, MD
- Kari Pratt, A.R.N.P.
- Praveen Bolarum, MD LLC
- Praveen Bolarum, MD LLC
- Precision Home Care LLC
- Premier Integrative Health and Wellness
- Premier Primary Care LLC
- Premise Health of Maryland Medical P C (On-site US Employee Health & Wellness Center - Frederick)
- Premise Health of Maryland Medical P C (Homewood - Frederick)
- Premise Health of Maryland Medical P C (Kite Employee Health Center)
- Prestige Physical Therapy, LLC
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.