Healthcare Provider Details

I. General information

NPI: 1124984323
Provider Name (Legal Business Name): UNIVERSITY OF MARYLAND ORTHOPAEDICS ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 DEFENSE HWY STE 100
ANNAPOLIS MD
21401-7040
US

IV. Provider business mailing address

2200 KERNAN DR STE 1154
BALTIMORE MD
21207-6665
US

V. Phone/Fax

Practice location:
  • Phone: 410-448-6400
  • Fax: 410-448-6296
Mailing address:
  • Phone: 667-214-2732
  • Fax: 410-448-6296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA GODMAN
Title or Position: MANAGER
Credential:
Phone: 667-214-2732