Provider Demographics
NPI:1043324379
Name:EDWARD S. ORMAN, DPM, PA
Entity Type:Organization
Organization Name:EDWARD S. ORMAN, DPM, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:ORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-529-4141
Mailing Address - Street 1:5009 HONEYGO CENTER DR
Mailing Address - Street 2:SUITE 213
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9815
Mailing Address - Country:US
Mailing Address - Phone:410-529-4141
Mailing Address - Fax:410-529-0801
Practice Address - Street 1:5009 HONEYGO CENTER DR
Practice Address - Street 2:SUITE 213
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9815
Practice Address - Country:US
Practice Address - Phone:410-529-4141
Practice Address - Fax:410-529-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD536213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT59833Medicare UPIN
MD0851740001Medicare NSC