NPIMap

Organization Active NPI

Premier Orthopedics, P.a.

  • Orthopaedic Surgery Physician
  • Clinton, MD
National Provider Identifier
1588051155
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
9135 Piscataway Rd
Suite 300
Clinton, MD 20735-2549
Phone
(240) 348-7390
Fax
(301) 560-8303
NPI assigned
Apr 22, 2015
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 Z Busch
Title
Practice Coordinator
Phone
(410) 461-9500

Specialties & licenses 1

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

Addresses

Primary practice location

9135 Piscataway Rd
Suite 300
Clinton, MD 20735-2549

Mailing address

3570 Saint Johns LN
Frederick Crossing
Ellicott City, MD 21042-4032
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.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1588051155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 SAINT JOHNS LN",
            "address_2": "FREDERICK CROSSING",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424032",
            "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": "9135 PISCATAWAY RD",
            "address_2": "SUITE 300",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352549",
            "telephone_number": "240-348-7390",
            "fax_number": "301-560-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPEDICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "MYRA",
        "authorized_official_middle_name": "Z",
        "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 Clinton, 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.