Provider Type Icon

ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC NPI 1083617625


NPI Information

NPI: 1083617625
Provider Name: ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
108 FORBES ST
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 268-8862
Get Directions

ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC is a sports medicine orthopaedic surgery in Annapolis, MD. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC NPI is 1083617625. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

108 FORBES ST
ANNAPOLIS, MD
ZIP 21401-502
Phone: (410) 268-8862
Fax: (410) 280-4701

The provider's authorized official is Mark Chaput .
The authorized official title is Administrator Ceo and has the following contact phone number (410) 268-8862.

The enumeration date for this NPI number is 5/27/2005 and was last updated on 12/17/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1KM25MEDICARE PINMARYLAND
20863140001MEDICARE NSCMARYLAND
3146000500MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.