Healthcare Provider Details

I. General information

NPI: 1881754802
Provider Name (Legal Business Name): ORTHO GEAR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

949 MOUNT HERMON RD
SALISBURY MD
21804-5105
US

IV. Provider business mailing address

949 MOUNT HERMON RD
SALISBURY MD
21804-5105
US

V. Phone/Fax

Practice location:
  • Phone: 410-543-7988
  • Fax: 410-543-9033
Mailing address:
  • Phone: 410-543-7988
  • Fax: 410-543-9033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number22241158
License Number StateMD

VIII. Authorized Official

Name: MR. SHAWN M. THOMAS
Title or Position: PRESIDENT
Credential: C.S.C.S.
Phone: 410-543-7988