# PREMIER ORTHOPEDICS, P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1518096239
- **Authorized official:** MYRA BUSCH (PRACTICE GROUP COORDINATOR)
- **Authorized official phone:** (410) 461-9500

## Contact information

- **Practice address:** 545 MAIN ST, SUITE 217, LAUREL, MD 20707-4351
- **Practice address phone:** (301) 776-2000
- **Practice address fax:** (301) 776-2806
- **Mailing address:** 3570 SAINT JOHNS LN, ELLICOTT CITY, MD 21042-4020
- **Mailing address phone:** (410) 461-9500
- **Mailing address fax:** (410) 461-8945

## Taxonomy

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

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 04/22/2015