ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC

Address: 8638 Veterans Hwy, 1st Floor, Millersville, MD 21108-1422
Phone: 4107294878

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).

Provider Overview

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
Parent Organization TIN

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MD 412902400 05

Other Provider/Organization Names

Other Name Type Code
BENFIELD O AND P Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 8638 VETERANS HWY
1ST FLOOR
City MILLERSVILLE
State MD
Zip Code 21108-1422

Providers in the same location

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
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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
1902083181 Harbour House Inc Community Based Residential Treatment Facility, Mental Illness 8354 Woodlawn Road, Millersville, MD 21108 2008-01-30
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
1609315530 El&s LLC Prosthetic/Orthotic Supplier 3523 Fort Meade Rd, Laurel, MD 20724-2013 2017-02-12
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Competitor

Search similar providers

City MILLERSVILLE
Zip Code 21108

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Dataset Information

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.