DELMARVA ORTHOPAEDIC CLINIC, P.A. (NPI# 1982841698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982841698 |
| Entity Type | Organization |
| Organization Name | DELMARVA ORTHOPAEDIC CLINIC, P.A. |
| Other Organization Name | THE ORTHOPEDIC CENTER |
| Practice Address |
2540 Centreville Rd Centreville MD 21617-2681 |
| Mailing Address |
510 Idlewild Ave Suite 200 Easton MD 21601-3881 |
| Practice Telephone | 4108208226 |
| Practice Fax Number | 4108208405 |
| Mailing Telephone | 4108208226 |
| Mailing Fax Number | 4108208405 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2012-09-06 |
| Authorized Official Name | DR. THOMAS E STAUCH (PRESIDENT) |
| Authorized Official Telephone | 4108208226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 466641100 | 05 |
| Other Name | Type Code |
|---|---|
| The Orthopedic Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871844803 | Delmarva Orthopaedic Clinic, P.a. | Durable Medical Equipment & Medical Supplies | 125 Shoreway Dr, Suite 270, Queenstown, MD 21658-1680 | 2012-10-01 |
| 1699025072 | Delmarva Orthopaedic Clinic, P.a. | Physical Medicine & Rehabilitation | 125 Shoreway Dr, Queenstown, MD 21658-1680 | 2012-09-13 |
| 1902134398 | Delmarva Orthopaedic Clinic, P.a. | Durable Medical Equipment & Medical Supplies | 510 Idlewild Ave, Suite 200, Easton, MD 21601-3881 | 2009-11-24 |
| Street Address |
2540 CENTREVILLE RD |
| City | CENTREVILLE |
| State | MD |
| Zip Code | 21617-2681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598759706 | Michael Gasparovich | Family Medicine | 2540 Centreville Rd, Centreville, MD 21617-2681 | 2005-09-02 |
| 1053706382 | Gurpreet Saini | Internal Medicine | 2540 Centreville Rd, Centreville, MD 21617 | 2015-04-02 |
| 1770825747 | Lisa Hall Mcdonald | Nurse Practitioner | 2540 Centreville Rd, Centreville, MD 21617-2681 | 2013-03-18 |
| 1366524365 | Michell M Jordan | Nurse Practitioner | 2540 Centreville Rd, Centreville, MD 21617 | 2006-10-19 |
| 1962430728 | Jeffrey L Ukens | Family Medicine | 2540 Centreville Rd, Centreville, MD 21617-2681 | 2006-06-29 |
| 1659334852 | Valerie Ellen Goodman | Family Medicine | 2540 Centreville Rd, Centreville, MD 21617-2681 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
| 1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
| 1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
| 1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
| 1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
| 1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
| 1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
| 1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
| Find all providers in zip 21617 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232438 | Joseph Anthony Ciotola Jr. | Orthopaedic Surgery | 206 N Commerce St, Centreville, MD 21617-1049 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364507 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 6707 Democracy Blvd Ste 504, Bethesda, MD 20817-1166 | 2020-10-21 |
| 1407478332 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 550 Ritchie Hwy Ste K, Severna Park, MD 21146-2953 | 2020-05-14 |
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1659910628 | Leah Corder | Orthopaedic Surgery | 1710 Roland Ave, Towson, MD 21204-3527 | 2019-12-23 |
| 1518504752 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | 12020 Wetherfield Ln, Potomac, MD 20854-1111 | 2019-12-06 |
| 1588207757 | Regenmd LLC | Orthopaedic Surgery | 7811 Montrose Rd Ste 330, Potomac, MD 20854-3363 | 2019-10-21 |
| 1942842307 | Christopher Caulfield | Orthopaedic Surgery | 508 Pafel Rd, Annapolis, MD 21401-1002 | 2019-10-16 |
| 1801454665 | Orthopedic Physicians of Annapolis LLC | Orthopaedic Surgery | 8109 Ritchie Hwy Ste 200, Pasadena, MD 21122-6917 | 2019-06-05 |
| 1578121323 | Orthopedic Physicians of Annapolis LLC | Orthopaedic Surgery | 1106 Annapolis Rd Ste 130, Odenton, MD 21113-1739 | 2019-06-05 |
| 1740754001 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 14090 Hg Trueman Rd Ste 1100, Solomons, MD 20688 | 2019-01-18 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 21617 |
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| 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.