ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC (NPI# 1811154305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811154305 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC |
| Other Organization Name | BENFIELD O AND P |
| Practice Address |
8638 Veterans Hwy 1st Floor Millersville MD 21108-1422 |
| Mailing Address |
108 Forbes St Annapolis MD 21401-1502 |
| Practice Telephone | 4107294878 |
| Practice Fax Number | 4107294525 |
| Mailing Telephone | 4102688862 |
| Mailing Fax Number | 4102680380 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | DR. STEPHEN E FAUST (DIRECTOR) |
| Authorized Official Telephone | 4102688862 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | A2505 | MD | Suppliers |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | A2505 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 412902400 | 05 |
| Other Name | Type Code |
|---|---|
| BENFIELD O AND P | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617625 | Orthopaedic and Sports Medicine Center LLC | Orthopaedic Surgery | 108 Forbes St, Annapolis, MD 21401-1502 | 2005-05-27 |
| 1992962484 | Orthopaedic and Sports Medicine Center LLC | Durable Medical Equipment & Medical Supplies | 4175 N Hanson Ct, Suite 302, Bowie, MD 20716-3179 | 2008-05-21 |
| 1174780886 | Orthopaedic and Sports Medicine Center LLC | Durable Medical Equipment & Medical Supplies | 108 Forbes St, Annapolis, MD 21401-1502 | 2008-05-20 |
| 1245439595 | Orthopaedic and Sports Medicine Center LLC | Orthopaedic Surgery | 4175 N Hanson Ct, Suite 301, Bowie, MD 20716-3179 | 2007-07-17 |
| Street Address |
8638 VETERANS HWY 1ST FLOOR |
| City | MILLERSVILLE |
| State | MD |
| Zip Code | 21108-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740244557 | Lisa Ann Whitaker | Physical Therapist | 8638 Veterans Hwy, 1st Floor, Millersville, MD 21108-1422 | 2006-04-17 |
| 1932767779 | Orthopedic Physicians of Annapolis LLC | Orthopaedic Surgery | 8638 Veterans Hwy, Millersville, MD 21108-1422 | 2019-06-05 |
| 1801339049 | Nicholas Ryan Espinosa | Physical Therapist | 8638 Veterans Hwy, 1st Flo, Millersville, MD 21108-1422 | 2016-11-21 |
| 1144693573 | Kellie Jean Burton | Physical Therapy Assistant | 8638 Veterans Hwy, 1st Floor, Millersville, MD 21108-1422 | 2015-11-06 |
| 1376817908 | Debra M. Piccirillo | Speech-Language Pathologist | 8638 Veterans Hwy, 1st Floor, Millersville, MD 21108-1422 | 2012-02-29 |
| 1508138819 | Rishelle Nicole Charles | Physical Therapist | 8638 Veterans Hwy, 1st Floor, Millersville, MD 21108-1422 | 2012-02-01 |
| 1225359912 | Sarah Rivers | Speech-Language Pathologist | 8638 Veterans Hwy, 1st Floor, Millersville, MD 21108-1422 | 2010-06-16 |
| 1013158450 | Orthopedic Physicians of Annapolis,llc | Durable Medical Equipment & Medical Supplies | 8638 Veterans Hwy, 1st Floor, Millersville, MD 21108-1422 | 2009-03-16 |
| 1629219191 | Satta Y Kanneh | Physical Therapist | 8638 Veterans Hwy, Millersville, MD 21108-1422 | 2009-03-13 |
| 1063576379 | Lisa Anne Marcoon | Occupational Therapist | 8638 Veterans Hwy, 1st Floor, Millersville, MD 21108-1422 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152171 | Jlg Counseling Services | Clinic/Center | 584 Belmawr Place, Millersville, MD 21108 | 2020-10-22 |
| 1154949816 | Rukiya Davis | Social Worker | Villa Maria Catholic Charities 1111 Benfield Blvd, Ste 200, Millersville, MD 21108 | 2020-07-09 |
| 1073175485 | Elaine Reed | Social Worker | 1111 Benfied Blvd Suite 104, Millersville, MD 21108 | 2019-07-05 |
| 1518431170 | Harbour House Inc | Community/Behavioral Health | 8354 Woodland Road, Millersville, MD 21108 | 2019-01-17 |
| 1235653817 | Jacob A Becker | Chiropractor | 683 Old Mill Road, Millersville, MD 21108 | 2017-07-26 |
| 1336669563 | Ilene Abigail Gruber | Social Worker | 1114 Benefield Blvd, Suite G, Millersville, MD 21108 | 2017-06-20 |
| 1700338654 | Lisa Maholchic | Social Worker | 1114 Befield Blvd, Unit G, Millersville, MD 21108 | 2016-10-26 |
| 1174962658 | Christy Joy Shiloh | Specialist | 649 Old Mill Road, Millersville, MD 21108 | 2013-06-18 |
| 1396022406 | Christina Triantafilidis | Physical Therapist | 8638 Veterans Hwy Fl 1, Millersville, MD 21108 | 2011-11-03 |
| 1316253180 | Anuj Bhatnagar | Family Medicine | 8601 Veterans Hwy Ste 200, Millersville, MD 21108 | 2010-08-31 |
| Find all providers in zip 21108 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174146153 | Rehabilitation and Wellness Associates | Prosthetic/Orthotic Supplier | 3333 N Calvert St Ste 585, Baltimore, MD 21218-6514 | 2020-05-25 |
| 1134755218 | Dope Beauty Bar | Prosthetic/Orthotic Supplier | 1459 Light St Ste 1, Baltimore, MD 21230-4549 | 2020-03-20 |
| 1306470687 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4600 Wilkens Ave Ste 105, Baltimore, MD 21229-4843 | 2020-02-26 |
| 1740823913 | Select Physical Therapy Holdings, Inc. | Prosthetic/Orthotic Supplier | 1305 S Salisbury Blvd Ste 5, Salisbury, MD 21801-6845 | 2019-10-21 |
| 1225697303 | Tonya Tennelle Briggs | Prosthetic/Orthotic Supplier | 5853 York Rd, Baltimore, MD 21212-3613 | 2019-06-11 |
| 1851861389 | Pink Couture Hair | Prosthetic/Orthotic Supplier | 4316 Hamilton St, Hyattsville, MD 20781-1938 | 2018-11-27 |
| 1174004535 | Crystal Angela White | Prosthetic/Orthotic Supplier | 11006 Spring Forest Way, Fort Washington, MD 20744-4877 | 2018-08-23 |
| 1205338860 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10750 Columbia Pike Ste 100, Silver Spring, MD 20901-4402 | 2018-02-28 |
| 1114426624 | Inarbi Enterprise Inc | Prosthetic/Orthotic Supplier | 739 W Pratt St Ste C, Baltimore, MD 21201-1167 | 2018-02-09 |
| 1609389725 | Emerge Empowerment Movement | Prosthetic/Orthotic Supplier | 872 Largo Center Dr, Largo, MD 20774-3705 | 2017-11-10 |
| Find all providers with the same taxonomy | ||||
| City | MILLERSVILLE |
| Zip Code | 21108 |
Please comment or provide details below to improve the information on ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.