Provider Demographics
NPI:1083619845
Name:ORMAN, EDWARD S (DPM)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:S
Last Name:ORMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:21128-9828
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:21128-9828
Practice Address - Country:US
Practice Address - Phone:410-529-4141
Practice Address - Fax:410-529-0801
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD536213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD789858400Medicaid
MDT098Medicare PIN
MD789858400Medicaid
MDT59833Medicare UPIN