Provider Demographics
NPI:1750589776
Name:ORTHOPAEDICS AND SPINE CARE, P.A.
Entity type:Organization
Organization Name:ORTHOPAEDICS AND SPINE CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:BANDS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD, FACS
Authorized Official - Phone:410-974-6388
Mailing Address - Street 1:2002 MEDICAL PKWY
Mailing Address - Street 2:SUITE 660
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3046
Mailing Address - Country:US
Mailing Address - Phone:410-974-6388
Mailing Address - Fax:410-266-5222
Practice Address - Street 1:2002 MEDICAL PKWY
Practice Address - Street 2:SUITE 660
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3046
Practice Address - Country:US
Practice Address - Phone:410-974-6388
Practice Address - Fax:410-266-5222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD44354174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE55629Medicare UPIN