NPIMap

Organization Active NPI

Orthopaedic and Sports Medicine Center LLC

  • Prosthetic/Orthotic Supplier
  • Bowie, MD
National Provider Identifier
1992962484
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
A2505 Issued in MD
Legal business name
ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC
Practice address
4175 N Hanson CT
Suite 302
Bowie, MD 20716-3179
Phone
(301) 805-0190
Fax
(301) 352-0173
NPI assigned
May 21, 2008
Organization subpart
Yes
Parent organization
ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Stephen E Faust, M.D.NPI 1598768285
Title
Director
Phone
(410) 268-8862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X A2505 MD
Prosthetic/Orthotic Supplier 335E00000X A2505 MD Primary

Addresses

Primary practice location

4175 N Hanson CT
Suite 302
Bowie, MD 20716-3179

Mailing address

108 Forbes St
Annapolis, MD 21401-1502
Phone (410) 268-8862

Other identifiers 1

IdentifierTypeStateIssuer
412902400MedicaidMD

Other names 1

  • BOWIE O AND P Other name

National Provider Directory

National Provider Directory
Tax ID family
Stephen E Faust MD3 organizations share this tax ID, including this one
Part of
Stephen E Faust MD

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4175 N Hanson Ct
Ste 302
Bowie, MD 20716
Phone (301) 805-0190

Practitioners & affiliated clinicians

Practitioners 1

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1992962484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FORBES ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011502",
            "telephone_number": "410-268-8862",
            "fax_number": "410-268-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 N HANSON CT",
            "address_2": "SUITE 302",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163179",
            "telephone_number": "301-805-0190",
            "fax_number": "301-352-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "FAUST",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-268-8862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "A2505",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MD",
            "license": "A2505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412902400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOWIE O AND P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.