NPIMap

Individual provider Active NPI

Theodore Thomas Manson, MD

  • Orthopaedic Surgery Physician
  • Towson, MD
National Provider Identifier
1760537666
Registry record updated Jun 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0065474 Issued in MD
Practice address
8322 Bellona Ave Ste 100
Towson, MD 21204-2065
Phone
(410) 337-7900
Fax
(410) 337-5321
NPI assigned
Jan 24, 2007
Last updated
Jun 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 60-243390 NY
Orthopaedic Surgery Physician 207X00000X D0065474 MD Primary

Addresses

Primary practice location

8322 Bellona Ave Ste 100
Towson, MD 21204-2065

Mailing address

8322 Bellona Ave Ste 100
Towson, MD 21204-2065
Phone (410) 337-7900

Other practice location 1

22 S Greene St
Ground Floor
Baltimore, MD 21201-1544
Phone (410) 328-6040

Other practice location 2

201 Plumtree Rd
Bel Air, MD 21015-6053
Phone (410) 337-7900

Other identifiers 1

IdentifierTypeStateIssuer
D0065474OtherMDMD LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090210000298 MD Practitioner - Orthopedic SurgeryPractitioner - Emergency Medicine 2668537598 Reassigns benefits to 3 organizations
I20101214000158 DC Practitioner - Orthopedic Surgery 2668537598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

187 Thomas Johnson Dr
Frederick, MD 21702-4503

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

201 Plumtree Rd
Suite 301
Bel Air, MD 21015-6044
Phone (410) 569-8587

8322 Bellona Ave
Towson, MD 21204-2065

9110 Philadelphia Rd
Suite 308
Rosedale, MD 21237-4327
Phone (410) 569-8587

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement183
Knee replacement179
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60-243390NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Orthopaedic Trauma Associates, PA CurrentSince Feb 1, 2009 Accepting new patients
University of Maryland Orthopaedic Associates PA Orthopaedic Surgery CurrentSince Jan 1, 2010 Accepting new patients
University of Maryland Orthopaedic Associates P a Orthopaedic Surgery CurrentSince Jan 1, 2010 Accepting new patients
University of Maryland St. Joseph Orthopaedics, LLC CurrentSince Jul 1, 2019 Accepting new patients
University of Maryland St. Joseph Orthopaedics, LLC Orthopaedic Surgery CurrentSince Jul 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
University of Maryland St. Joseph Medical Group, LLC Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

201 Plumtree Rd
Ste 301
Bel Air, MD 21015
Phone (410) 569-3326

8322 Bellona Ave
Towson, MD 21204
Phone (410) 328-3645

8322 Bellona Ave
Rm 100
Towson, MD 21204
Phone (410) 337-7900

Interoperability endpoints

  • Direct secure messaging: theodoremanson@towsonorth.allscriptsdirect.net
  • Direct secure messaging: tmanson7619@direct.umm.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560556800000",
    "number": "1760537666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042065",
            "telephone_number": "410-337-7900",
            "fax_number": "410-337-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042065",
            "telephone_number": "410-337-7900",
            "fax_number": "410-337-5321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_2": "Ground Floor",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Plumtree Rd",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210156053",
            "country_code": "US",
            "telephone_number": "410-337-7900",
            "fax_number": "410-821-1334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSON",
        "first_name": "THEODORE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2019-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "60-243390",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0065474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE #",
            "identifier": "D0065474",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.