# ORTHOPAEDIC GROUP OF WESTERN MARYLAND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124023288
- **Authorized official:** JACK W HARVEY M.D. (PRESIDENT)
- **Authorized official phone:** (301) 724-7146

## Contact information

- **Practice address:** 925 SETON DR, CUMBERLAND, MD 21502-1817
- **Practice address phone:** (301) 724-7146
- **Practice address fax:** (301) 724-1603
- **Mailing address:** 925 SETON DR, CUMBERLAND, MD 21502-1817
- **Mailing address phone:** (301) 724-7146
- **Mailing address fax:** (301) 724-1603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | MD | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0935010001 | ADMINASTAR DME | MD |
| 01 | — | 178044 | HIGHMARK | MD |
| 01 | — | CF4969 | PALMETTO GBA | MD |
| 01 | — | H615OR | CAREFIRST BC BS OF MD | MD |