Provider Demographics
NPI:1891157673
Name:UNIVERSITY OF MARYLAND ORTHOPAEDIC ASSOCIATES P A
Entity type:Organization
Organization Name:UNIVERSITY OF MARYLAND ORTHOPAEDIC ASSOCIATES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL FEES ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:GODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:667-214-2732
Mailing Address - Street 1:2200 KERNAN DR
Mailing Address - Street 2:SUITE 1154
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-6665
Mailing Address - Country:US
Mailing Address - Phone:410-448-7383
Mailing Address - Fax:
Practice Address - Street 1:351 W CAMDEN ST
Practice Address - Street 2:SUITE 501
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-7912
Practice Address - Country:US
Practice Address - Phone:410-448-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty