Healthcare Provider Details

I. General information

NPI: 1073557153
Provider Name (Legal Business Name): MICHAEL JAMES WARD DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 AIRPAX RD STE 700
CAMBRIDGE MD
21613-6401
US

IV. Provider business mailing address

828 AIRPAX RD STE 700
CAMBRIDGE MD
21613-6401
US

V. Phone/Fax

Practice location:
  • Phone: 410-901-8370
  • Fax: 410-901-8373
Mailing address:
  • Phone: 410-901-8370
  • Fax: 410-901-8373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberH0061977
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number25MB05579700
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberC2-0009927
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: