Organization Active NPI

Tom Ghobrial, MD. LLC

  • Orthopaedic Surgery Physician
  • Cumberland, MD
National Provider Identifier
1972717437
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0051379 Issued in MD
Legal business name
TOM GHOBRIAL, MD. LLC
Practice address
12252 Williams Rd SE
Cumberland, MD 21502-7960
Phone
(240) 362-7370
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Mrs. Sherry Lee Twigg
Title
Office Manager
Phone
(240) 362-7370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X D0051379 MD Primary

Addresses

Primary practice location

12252 Williams Rd SE
Cumberland, MD 21502-7960

Mailing address

12252 Williams Rd SE
Cumberland, MD 21502-7960
Phone (240) 362-7370

Other identifiers 1

IdentifierTypeStateIssuer
745163600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080421000163 MD Part B Supplier - Clinic/Group Practice 8325126162 Receives reassigned benefits from 3 practitioners
Practice locations: Cumberland, MD
O20100930005367 MD DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8325126162 Practice locations: Cumberland, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1972717437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12252 WILLIAMS RD SE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215027960",
            "telephone_number": "240-362-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12252 WILLIAMS RD SE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215027960",
            "telephone_number": "240-362-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM GHOBRIAL, MD. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "TWIGG",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "240-362-7370",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0051379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "745163600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.