Jonathan David Packer, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

D0079932 Issued in MD

Practice address

110 S Paca St
6TH Floor, Suite 300
Baltimore, MD 21201-1642

Phone

(410) 448-6400

NPI assigned

May 7, 2009

Last updated

Sep 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Orthopedic Surgery

Education

Columbia University College of Physicians and Surgeons, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University of Maryland Orthopaedic Associates PAGroup PAC ID 0042108722, 68 clinicians

University of Maryland Orthopaedic Trauma Associates, P.a.Group PAC ID 5294621025, 42 clinicians

University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Umd Rehabilitation & Orthopaedic Institute Hospital, Baltimore, MD, CCN 210058

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpacker222139@direct.umm.edu

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.

• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment Care Compare group NPD
• University of Maryland Orthopaedic Associates P a

  • Pediatric Orthopaedic Surgery Physician
  • Baltimore, MD
  • NPI 1740235274

  DC, Sports Medicine

  Medicare reassignment Care Compare group NPD
• University of Maryland Orthopaedic Trauma Associates, PA

  • Orthopaedic Trauma Physician
  • Baltimore, MD
  • NPI 1497708051
  Medicare reassignment Care Compare group NPD
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854
  NPD
• University of Maryland Orthopaedic Associates PA

  • Orthopaedic Surgery Physician
  • Laurel, MD
  • NPI 1649080714

  Sports Medicine

  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• James Lawrence Kernan Hospital, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1841337805
  Care Compare affiliation

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1780818674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "address_2": "6TH FLOOR, SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "address_2": "6TH FLOOR, SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-448-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MD",
            "license": "D0079932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin B Pachino, RPH
• Pacific Rehab of Maryland (St Paul and Biddle Medical Associates)
• Pacific Rehab of Maryland LLC (St Paul & Biddle Medical Associates)
• Kayla Danielle Pacifici, BCBA
• Zoey Packard
• Theodosia R Paclawskyj, PHD
• Pact Helping Children With Special Needs Inc (PACT - CTC Services)
• Pact: Helping Children With Special Needs, Inc. (PACT - Social Work Services)
• Syvel Moran Padayhag
• James Vincent Padden, SLP

• Sports Medicine (Orthopaedic Surgery) Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.