DR. JONATHAN DAVID PACKER (NPI# 1780818674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780818674 |
Entity Type | Individual |
Full Name | DR. JONATHAN DAVID PACKER |
Credential | M.D. |
Practice Address |
110 S Paca St 6th Floor, Suite 300 Baltimore MD 21201-1642 |
Practice Telephone | 4104486400 |
Enumeration Date | 2009-05-07 |
Last Update Date | 2015-09-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
D0079932 | MD | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316472764 | Jonathan David Packer | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Level I, Room 248, Newark, NJ 07103-2496 | 2017-04-24 |
1205292257 | Jonathan Reed Packer | Physical Therapist | 165 Natchez Trace Ave, Suite 200, Bowling Green, KY 42103-7940 | 2016-01-06 |
1902218761 | Jonathan Packer | Occupational Therapy Assistant | 621 Dexter St, Central Falls, RI 02863-2742 | 2014-05-28 |
Street Address |
110 S PACA ST 6TH FLOOR, SUITE 300 |
City | BALTIMORE |
State | MD |
Zip Code | 21201-1642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275596520 | Anila Sarwar Bhatti | Anesthesiology | 110 S Paca St, Suite 300 6th Fl, Baltimore, MD 21201-1642 | 2006-04-08 |
1801423447 | Ali Aneizi | Student in an Organized Health Care Education/Training Program | 110 S Paca St, 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-24 |
1285292946 | Debbie C Jerez | Registered Nurse | 110 S Paca St, Baltimore, MD 21201-1642 | 2019-05-29 |
1558865642 | Samantha Jane Yarmis | Student in an Organized Health Care Education/Training Program | 110 S Paca St, 6th Floor, Suite 200, Baltimore, MD 21201 | 2018-03-22 |
1902300643 | Samuel Li | Student in an Organized Health Care Education/Training Program | 110 S Paca St, 6th Floor, Suite 300, Baltimore, MD 21201 | 2018-03-19 |
1689108326 | Julio Jose Jauregui | Student in an Organized Health Care Education/Training Program | 110 S Paca St, 6th Floor, Suite 300, Baltimore, MD 21201-1642 | 2017-04-19 |
1902330699 | Scott Koenig II | Student in an Organized Health Care Education/Training Program | 110 S Paca St, Department of Orthopaedics Sixth Floor, Baltimore, MD 21201-1642 | 2017-04-19 |
1952835928 | Tristan Buchanan Weir | Student in an Organized Health Care Education/Training Program | 110 S Paca St, 6th Floor, Suite 300, Baltimore, MD 21201-1642 | 2017-04-17 |
1629500566 | Rohan Gopinath | Student in an Organized Health Care Education/Training Program | 110 S Paca St, Floor 6, Suite 300, Baltimore, MD 21201-1642 | 2017-03-30 |
1316478464 | Tedhar Setton | Student in an Organized Health Care Education/Training Program | 110 S Paca St, 6th Floor, Suite 200, Baltimore, MD 21201-1642 | 2017-03-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
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Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023665262 | Johns Hopkins University | Orthopaedic Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-08-22 |
1811365828 | Lifebridge Community Physicians, Inc | Orthopaedic Surgery | 2401 W Belvedere Ave, Suite 102-104, Baltimore, MD 21215-5216 | 2015-09-08 |
1285930404 | Allison Liefeld Fillar | Orthopaedic Surgery | 3333 N Calvert St, Jpb, Suite 400, Baltimore, MD 21218-2867 | 2011-02-05 |
1306027263 | Chad C Zooker | Orthopaedic Surgery | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209 | 2007-11-20 |
1902005747 | Michael Jason Wallace | Orthopaedic Surgery | 3421 Benson Ave, Suite 100, Baltimore, MD 21227-1056 | 2007-07-12 |
1386851681 | Scott M Adams | Orthopaedic Surgery | 3421 Benson Ave, Suite 100, Baltimore, MD 21227-1056 | 2007-05-17 |
1033271697 | Jason Wilson Hammond | Orthopaedic Surgery | 3333 N Calvert St, Suite 400, Baltimore, MD 21218-2867 | 2006-12-13 |
1376532267 | Robert Riederman | Orthopaedic Surgery | 2700 Quarry Lake Dr, Suite 300, Baltimore, MD 21209-2230 | 2005-10-14 |
1639167554 | David P Buchalter | Orthopaedic Surgery | 2700 Quarry Lake Dr, Suite 300, Baltimore, MD 21209-2230 | 2005-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952812208 | Richard Thomas Travis | Orthopaedic Surgery | 3113 Catrina Ln, Annapolis, MD 21403-4340 | 2017-10-13 |
1104180249 | Heather Suzanne York | Orthopaedic Surgery | 10975 Guilford Rd, Annapolis Junction, MD 20701-1125 | 2012-07-03 |
1598725442 | Scott P Worrell | Orthopaedic Surgery | 11110 Medical Campus Road, Suite 205, Hagerstown, MD 21742 | 2006-03-24 |
1215925128 | Jon D Koman | Orthopaedic Surgery | 116 Westminster Pike, Suite 100, Reisterstown, MD 21136-1027 | 2005-10-13 |
1083617625 | Orthopaedic and Sports Medicine Center LLC | Orthopaedic Surgery | 108 Forbes St, Annapolis, MD 21401-1502 | 2005-05-27 |
1447636048 | Kessous & Kessous Md PC | Orthopaedic Surgery | 800 S Frederick Ave, Ste 100, Gaithersburg, MD 20877-4150 | 2015-08-05 |
1245632926 | Orthosurg Physician Assistants of Maryland LLC | Orthopaedic Surgery | 6430 Rockledge Dr, Suite 510, Bethesda, MD 20817-1805 | 2014-09-24 |
1437579596 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 5530 Wisconsin Ave, Suite 1660, Chevy Chase, MD 20815 | 2014-04-16 |
1750703864 | Koman Orthopedics and Sports Medicine, LLC | Orthopaedic Surgery | 116 Westminster Pike, Suite 100, Reisterstown, MD 21136-1027 | 2014-01-08 |
1962766899 | Precision Orthpedics and Sports Medicine | Orthopaedic Surgery | 14201 Park Center Dr, Suite 410, Laurel, MD 20707-5217 | 2012-06-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.