Provider Demographics
NPI:1124000468
Name:ORLANDO, JOSEPH C (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:C
Last Name:ORLANDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 LOCH RAVEN BLVD
Mailing Address - Street 2:SUITE 101, POB
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2905
Mailing Address - Country:US
Mailing Address - Phone:410-433-4300
Mailing Address - Fax:410-433-4491
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:SUITE 101, POB
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2905
Practice Address - Country:US
Practice Address - Phone:410-433-4300
Practice Address - Fax:410-433-4491
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0011867208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD22516OtherEHP/PRIORITY PARTNERS
MD7333021OtherUNITED HEALTHCARE MIDATLA
MD965411900Medicaid
MD250005956OtherRAILROAD MEDICARE
MD464716OtherAETNA HMO/QPOS
MD601039OtherUNITED HEALTHCARE NATL
MD610200106OtherPHCS
DCF4790001OtherBLUE CHOICE/FEP
MD4333236OtherAETNA MC/PPO
MD7333021OtherUNITED HEALTHCARE MID ATL
MD1380014OtherEVERCARE
MD41878501OtherCAREFIRST BCBS
DCF4790001OtherBLUE CHOICE/FEP
MDD77616Medicare UPIN