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ANTONIADES ORTHOPAEDICS LLC NPI 1710913934


NPI Information

NPI: 1710913934
Provider Name: ANTONIADES ORTHOPAEDICS, LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
3449 WILKENS AVE
STE 107
BALTIMORE, MD
ZIP 21229
Phone: (410) 368-9992
Get Directions

ANTONIADES ORTHOPAEDICS, LLC is an orthopaedic surgery in Baltimore, MD. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ANTONIADES ORTHOPAEDICS, LLC NPI is 1710913934. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3449 WILKENS AVE
STE 107
BALTIMORE, MD
ZIP 21229-281
Phone: (410) 368-9992
Fax: (410) 368-9997

The provider's authorized official is John Antoniades .
The authorized official title is Md and has the following contact phone number (410) 951-1773.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 10/22/2012.


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
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryNo
2207XX0005XOrthopaedic SurgerySports MedicineNo
3207X00000XOrthopaedic SurgeryYes

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
1873AANOTHERMARYLANDBC / BS OF MD
2920MMEDICARE ID-TYPE UNSPECIFIED
3J817OTHERMARYLANDBLUECHOICE
46379210001MEDICARE NSCMARYLAND

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: 4/28/2024

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