NPIMap

Organization Active NPI

University of Maryland Orthopaedic Trauma Associates, PA

  • Orthopaedic Surgery Physician
  • Columbia, MD
National Provider Identifier
1639989619
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
5900 Waterloo Rd
Columbia, MD 21045-2639
Phone
(410) 448-6400
NPI assigned
Jan 10, 2025
Last updated
Jan 10, 2025By the provider in NPPES
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 Physician 207X00000X NU Primary

Addresses

Primary practice location

5900 Waterloo Rd
Columbia, MD 21045-2639

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 Trauma Orthopaedic21 organizations share this tax ID, including this one
Part of
University of Maryland Trauma Orthopaedic

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": "1639989619",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 WATERLOO RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452639",
            "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": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, 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.