ST PAUL PLACE SPECIALISTS INC. NPI 1376418632

NPI Information

  • NPI: 1376418632
  • Provider Name: ST PAUL PLACE SPECIALISTS, INC.
  • Classification: Orthopaedic Surgery - 207XX0004X
  • Specialization: Foot and Ankle Surgery
  • Entity Type: Organization
  • Address: 3290 N RIDGE RD STE 220
    ELLICOTT CITY, MD
    ZIP 21043
  • Phone: (410) 332-9000

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NPI Details

ST PAUL PLACE SPECIALISTS, INC. is a foot and ankle surgery orthopaedic surgery in Ellicott City, MD. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. ST PAUL PLACE SPECIALISTS, INC. NPI is 1376418632. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3290 N RIDGE RD STE 220
ELLICOTT CITY, MD
ZIP 21043-657
Phone: (410) 332-9000

The provider's authorized official is Justin Deibel .
The authorized official title is Executive Vice President/cfo and has the following contact phone number (410) 659-2905.

The enumeration date for this NPI number is 10/7/2025 and was last updated on 10/7/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyNo
2207RR0500XInternal MedicineRheumatologyNo
3207X00000XOrthopaedic SurgeryNo
4208600000XSurgeryNo
5363A00000XPhysician AssistantNo
6363AS0400XPhysician AssistantSurgicalNo
7363L00000XNurse PractitionerNo
8207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryYes

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: 11/21/2025

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