Active NPI
Orthopedic Surgery Assoc PA
- Orthopaedic Surgery Physician
- Biddeford, ME
National Provider Identifier
1790768703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPEDIC SURGERY ASSOC PA
- Practice address
- 10 Wellspring Rd
Biddeford, ME 04005-9401 - Phone
- (207) 283-1126
- Fax
- (207) 286-1359
- NPI assigned
- Nov 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David N Markellos, MD
- Title
- Physician
- Phone
- (207) 283-1126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
10 Wellspring Rd
Biddeford, ME 04005-9401
Mailing address
10 Wellspring Rd
Biddeford, ME 04005-9401
Phone (207) 283-1126
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115070000 | Medicaid | ME | |
| CE2135 | Other | ME | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Biddeford, ME
- NPI 1417997222
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1790768703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WELLSPRING RD",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059401",
"telephone_number": "207-283-1126",
"fax_number": "207-286-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WELLSPRING RD",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059401",
"telephone_number": "207-283-1126",
"fax_number": "207-286-1359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC SURGERY ASSOC PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-23",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "MARKELLOS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "207-283-1126",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115070000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE2135",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.