EASTERN SPORTS MEDICINE & ORTHOPAEDIC CENTER
NPI 1790903631
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Baltimore, MD

Active since April 24, 2007
6830 HOSPITAL DR, SUITE 202, BALTIMORE, MD 21237(301) 574-0077(301) 574-0884 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eastern Sports Medicine & Orthopaedic Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN SPORTS MEDICINE & ORTHOPAEDIC CENTER (NPI 1790903631) is a healthcare organization registered as a pediatric orthopaedic surgery in Baltimore, Maryland and active in the NPI registry since April 2007. The organization lists Jeannine Wills, Manager, as its authorized official.

NPPES Registry Identity

NPI1790903631
Entity TypeOrganization
Primary Taxonomy207XP3100X
Legal Business NameJOHN C GORDON MD PA
Location Address6830 HOSPITAL DR, SUITE 202Baltimore, MD 21237-4373
Mailing Address6830 Hospital Dr, Suite 202Baltimore, MD 21237-4373 · (301) 574-0077 · Fax (301) 574-0884
Fax(301) 574-0884
Organization SubpartNo
Authorized OfficialJeannine WillsManager · (410) 574-0077
Enumeration DateApril 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1790903631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

6830 HOSPITAL DR, Baltimore, MD 21237

Other Names 1

Other NameEastern Sports Medicine & Orthopaedic Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
6830 HOSPITAL DR, STE 200
BALTIMORE, MD 21237
Urology
6830 HOSPITAL DR, SUITE 204
BALTIMORE, MD 21237
Internal Medicine
6830 HOSPITAL DR, SUITE 204
BALTIMORE, MD 21237
Durable Medical Equipment & Medical Supplies
6830 HOSPITAL DR, SUITE 204
BALTIMORE, MD 21237
Internal Medicine (Cardiovascular Disease)
6830 HOSPITAL DR, SUITE 200
BALTIMORE, MD 21237
Dentist
6830 HOSPITAL DR, SUITE# 106
ROSEDALE, MD 21237
Internal Medicine (Geriatric Medicine)
6830 HOSPITAL DR, SUITE 104
BALTIMORE, MD 21237
Internal Medicine (Pulmonary Disease)
6830 HOSPITAL DR, SUITE 102
BALTIMORE, MD 21237

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790903631, enumerated as an "organization" on April 24, 2007.

The provider is located at 6830 HOSPITAL DR SUITE 202 BALTIMORE, MD 21237 and the phone number is (301) 574-0077.

Orthopaedic Surgery with taxonomy code 207XP3100X and a focus in Pediatric Orthopaedic Surgery.