1124000468 NPI number — DR. JOSEPH C ORLANDO M.D.

Table of content: DR. JOSEPH C ORLANDO M.D. (NPI 1124000468)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124000468 NPI number — DR. JOSEPH C ORLANDO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ORLANDO
Provider First Name:
JOSEPH
Provider Middle Name:
C
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124000468
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/29/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5601 LOCH RAVEN BLVD
Provider Second Line Business Mailing Address:
SUITE 101, POB
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21239-2905
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-433-4300
Provider Business Mailing Address Fax Number:
410-433-4491

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5601 LOCH RAVEN BLVD
Provider Second Line Business Practice Location Address:
SUITE 101, POB
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21239-2905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-433-4300
Provider Business Practice Location Address Fax Number:
410-433-4491
Provider Enumeration Date:
11/14/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208200000X , with the licence number:  D0011867 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 22516 . This is a "EHP/PRIORITY PARTNERS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 7333021 . This is a "UNITED HEALTHCARE MIDATLA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 965411900 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 250005956 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 464716 . This is a "AETNA HMO/QPOS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 601039 . This is a "UNITED HEALTHCARE NATL" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 610200106 . This is a "PHCS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: F4790001 . This is a "BLUE CHOICE/FEP" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 4333236 . This is a "AETNA MC/PPO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 7333021 . This is a "UNITED HEALTHCARE MID ATL" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1380014 . This is a "EVERCARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 41878501 . This is a "CAREFIRST BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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