Active NPI
Leo A. Courtney, M.D.
- Orthopaedic Surgery Physician
- Severna Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- D0012537
- Practice address
- 690 Tewkesbury Lane
Severna Park, MD 21146 - Phone
- (410) 647-7942
- Fax
- (410) 647-5188
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | D0012537 | MD | Primary |
Addresses
Primary practice location
690 Tewkesbury Lane
Severna Park, MD 21146
Mailing address
690 Tewkesbury Lane
Severna Park, MD 21146
Phone (410) 647-7942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0012537 | MD | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Chesapeake Orthopaedic and Sports Medicine Center PA | Orthopaedic Surgery | Past | Accepting new patients |
| Chesapeake Orthopaedic & Sports Medicine Center | Orthopaedic Surgery | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
300 Hospital Dr
Ste 126
Glen Burnie, MD 21061
Phone (410) 787-4897
301 Hospital Dr
Ste 801
Glen Burnie, MD 21061
Phone (410) 553-8170
305 Hospital Dr
Lowr
Glen Burnie, MD 21061
Phone (410) 553-8359
305 Hospital Dr
Ste 304
Glen Burnie, MD 21061
Phone (410) 266-2725
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
300 Hospital Dr
Ste 132
Glen Burnie, MD 21061
Phone (410) 255-1600
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1649252875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 TEWKESBURY LANE",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "21146",
"telephone_number": "410-647-7942",
"fax_number": "410-647-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 TEWKESBURY LANE",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "21146",
"telephone_number": "410-647-7942",
"fax_number": "410-647-5188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURTNEY",
"first_name": "LEO",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "D0012537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.