Organization Active NPI

Susquehanna Orthopaedics Associates John P Ohearn MD LLC

  • Orthopaedic Surgery Physician
  • Forest Hill, MD
National Provider Identifier
1548438120
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SUSQUEHANNA ORTHOPAEDICS ASSOCIATES JOHN P OHEARN MD LLC
Practice address
2 Colgate Dr
Suite 204
Forest Hill, MD 21050-2624
Phone
(410) 879-9636
Fax
(410) 879-0376
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
John Patrick O'Hearn, MD
Title
Owner
Phone
(410) 879-9636

Specialties & licenses 1

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

Addresses

Primary practice location

2 Colgate Dr
Suite 204
Forest Hill, MD 21050-2624

Mailing address

2 Colgate Dr
Suite 204
Forest Hill, MD 21050-2624
Phone (410) 879-9636

Other identifiers 4

IdentifierTypeStateIssuer
277LOtherMDMEDICARE
E470-0001OtherDCCAREFIRST
961531800OtherMDMEDICAL ASSISTANCE
DC3950OtherGARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2 Colgate Dr
Ste 204
Forest Hill, MD 21050
Phone (410) 879-9636

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1548438120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COLGATE DR",
            "address_2": "SUITE 204",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502624",
            "telephone_number": "410-879-9636",
            "fax_number": "410-879-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLGATE DR",
            "address_2": "SUITE 204",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502624",
            "telephone_number": "410-879-9636",
            "fax_number": "410-879-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA ORTHOPAEDICS ASSOCIATES JOHN P OHEARN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "O'HEARN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-879-9636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "277L",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "E470-0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "961531800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC3950",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.