Provider Demographics
NPI:1952722837
Name:FRANKLIN SQUARE HOSPITAL CENTER, INC.
Entity Type:Organization
Organization Name:FRANKLIN SQUARE HOSPITAL CENTER, INC.
Other - Org Name:MEDSTAR ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-933-3073
Mailing Address - Street 1:1050 S NORTH POINT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-3329
Mailing Address - Country:US
Mailing Address - Phone:410-282-7600
Mailing Address - Fax:410-282-4802
Practice Address - Street 1:1050 S NORTH POINT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3329
Practice Address - Country:US
Practice Address - Phone:410-282-7600
Practice Address - Fax:410-282-4802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-19
Last Update Date:2014-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH450Medicare PIN