University of Maryland St. Joseph Orthopaedics, LLC
Organization Active NPI Orthopaedic Surgery Physician · Towson, MD
NPI 1982950846 · NPPES record last updated Apr 3, 2013
Key facts
- NPI
- 1982950846
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC
- Practice address
- 8322 Bellona Ave
Suite 100
Towson, MD 21204-2065 - Phone
- (410) 337-7900
- NPI assigned
- Jul 30, 2012
- Organization subpart
- No
Authorized official
- Name
- Paul Nicholson
- Title
- Chief Financial Officer
- Phone
- (410) 337-1000
Other NPIs with the same Medicare PAC ID 3
Member of 1
Practitioners 61
-
Elizabeth Michelle Brannan, MSN, RN, CRNP-ACUTE
-
Jeffrey T Brodie, MD
-
Mark V Clough, M.D.
-
Timothy P Codd, MD
-
Michael D Dabbah, MD
-
Zakary Myles Everhart, PA-C
-
Benjamin John Gardner, PA-C
-
Tricia Geiger, PA-C
-
Brett Andrew Getlan, PA-C
-
Christina M Harvell, PA-C
-
Mary Jo Holloran, CRNP
-
Gina Nicole Legaluppi, PA-C
-
Gregory D Marchesiello, PA-C
-
Michael J Marion, MD
-
Michelle Lynn McGehee, ATC, PA-C
-
Abigail B Mull, PA-C
-
Brian D Mulliken, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130227000318 | MD | Part B Supplier - Clinic/Group Practice | 0941455794 |
Receives reassigned benefits from 53 practitioners Practice locations: Bel Air, MD; Towson, MD; Rosedale, MD |
National Provider Directory
Locations
201 E University Pkwy
Ste 337
Baltimore, MD 21218
9110 Philadelphia Rd
Ste 308
Rosedale, MD 21237
Phone (410) 337-7900
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150
8322 Bellona Ave
Ste 200
Towson, MD 21204
Interoperability endpoints
- gregmarchesiello@towsonorth.allscriptsdirect.net
- christinaverzi@towsonorth.allscriptsdirect.net
- brianshiu@towsonorth.allscriptsdirect.net
- benjamingardner@towsonorth.allscriptsdirect.net
- timothycodd@towsonorth.allscriptsdirect.net
- markclough@towsonorth.allscriptsdirect.net
- maryjoholloran@towsonorth.allscriptsdirect.net
- kathymulford@towsonorth.allscriptsdirect.net
- scotttarantino@towsonorth.allscriptsdirect.net
- irafedder@towsonorth.allscriptsdirect.net
- abigailmull@towsonorth.allscriptsdirect.net
- robinzicker@towsonorth.allscriptsdirect.net
- michaeldabbah@towsonorth.allscriptsdirect.net
- rebeccawebb@towsonorth.allscriptsdirect.net
- michaelmarion@towsonorth.allscriptsdirect.net
- tiffanytsay@towsonorth.allscriptsdirect.net
- toddtredinnick@towsonorth.allscriptsdirect.net
- robynzicker@towsonorth.allscriptsdirect.net
- elizabethbrannan@towsonorth.allscriptsdirect.net
- shawngiacobbe@towsonorth.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
8322 Bellona Ave
Suite 100
Towson, MD 21204-2065
Mailing address
7601 Osler Dr
Towson, MD 21204-7700
Other names
- Towson Orthopaedic Associates
NPI Registry JSON
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364947200000",
"number": "1982950846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 OSLER DR",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8322 BELLONA AVE",
"address_2": "SUITE 100",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042065",
"telephone_number": "410-337-7900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-30",
"last_updated": "2013-04-03",
"status": "A",
"authorized_official_last_name": "NICHOLSON",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "410-337-1000"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Towson Orthopaedic Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Towson, MD
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- University of Maryland St. Joseph Orthopaedics, LLC
- University of Maryland St. Joseph Orthopaedics, LLC
- University of Maryland St. Joseph Orthopaedics, LLC
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- University of Maryland St. Joseph Pain Specialists, LLC
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All providers in Towson, MD · Orthopaedic Surgery Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.