Individual provider Active NPI

Aaron J Shakespeare, PA-C

  • Physician Assistant
  • Catonsville, MD
National Provider Identifier
1992808828
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002589 Issued in MD
Practice address
910 Frederick Rd
Catonsville, MD 21228-4516
Phone
(410) 644-1880
Fax
(410) 646-3623
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0002589 MD Primary

Addresses

Primary practice location

910 Frederick Rd
Catonsville, MD 21228-4516

Mailing address

910 Frederick Rd
Catonsville, MD 21228-4516
Phone (410) 644-1880

Other practice location 1

6707 Democracy Blvd Ste 504
Bethesda, MD 20817-1166
Phone (301) 637-8712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402001170 MD Practitioner - Physician Assistant 3678565041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (301) 694-8311

910 Frederick Rd
Catonsville, MD 21228-4516
Phone (410) 644-1880

Hospital & facility affiliations

  • Saint Agnes Hospital Hospital, Baltimore, MD, CCN 210011
  • The Lutheran Village At Miller's Grant Nursing home, Ellicott City, MD, CCN 215363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc CurrentSince Oct 1, 2003 Accepting new patients
St Agnes Healthcare Inc Physician Assistant CurrentSince Oct 1, 2003 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physician Assistant CurrentSince Aug 1, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

6707 Democracy Blvd
Ste 504
Bethesda, MD 20817
Phone (301) 637-8712

910 Frederick Rd
Catonsville, MD 21228

12143 Clarksville Pike
Ste 101
Clarksville, MD 21029
Phone (443) 230-5339

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

10710 Charter Dr
Columbia, MD 21044
Phone (410) 772-7000

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

3421 Benson Ave
Ste 100
Halethorpe, MD 21227
Phone 4106441880142

5961 Exchange Dr
Ste 100
Sykesville, MD 21784
Phone (410) 964-2212

405 N Center St
Ste 28
Westminster, MD 21157

Organizations & group practices 6

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1992808828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284516",
            "telephone_number": "410-644-1880",
            "fax_number": "410-646-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284516",
            "telephone_number": "410-644-1880",
            "fax_number": "410-646-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6707 Democracy Blvd Ste 504",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171166",
            "country_code": "US",
            "telephone_number": "301-637-8712",
            "fax_number": "301-547-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKESPEARE",
        "first_name": "AARON",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.