GREATER METROPOLITAN ORTHOPAEDIC INSTITUTE (NPI# 1194039511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194039511 |
| Entity Type | Organization |
| Organization Name | GREATER METROPOLITAN ORTHOPAEDIC INSTITUTE |
| Practice Address |
12825 Minnieville Road Suite 201/203 Woodbridge VA 22192-0045 |
| Mailing Address |
8926 Woodyard Rd Suite 701 Clinton MD 20735-4220 |
| Practice Telephone | 3018561682 |
| Practice Fax Number | 3018560964 |
| Mailing Telephone | 3018561682 |
| Mailing Fax Number | 3018560964 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | JEFFREY SABLOFF (OWNER) |
| Authorized Official Telephone | 3018561682 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE NSC | 0254450003 | 01 | |
| AETNA GROUP # VIRGINIA | 2491418 | 01 | |
| CAREFIRST BCBS NCA | 4695 | 01 | |
| DEPARTMENT OF LABOR | 145530100 | 01 | |
| METRO MEDICARE | 176608 | 01 | |
| UNITED HEALTHCARE GROUP # | 712403 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801102504 | Greater Metropolitan Orthopaedic Institute | Internal Medicine | 11325 Pembrooke Sq, Waldorf, MD 20603-4807 | 2010-08-19 |
| 1548576242 | Greater Metropolitan Orthopaedic Institute | Internal Medicine | 6355 Walker Ln, Suite 501, Alexandria, VA 22310-3245 | 2010-08-19 |
| 1942514450 | Greater Metropolitan Orthopaedic Institute | Internal Medicine | 8101 Hinson Farm Rd, Suite 301, Alexandria, VA 22306-3403 | 2010-07-27 |
| 1205140639 | Greater Metropolitan Orthopaedic Institute | Internal Medicine | 9455 Lorton Market St, Suite 100, Lorton, VA 22079-1962 | 2010-07-27 |
| Street Address |
12825 MINNIEVILLE ROAD SUITE 201/203 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-0045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992724413 | Elethia V Wampler | Physical Therapist | 12825 Minnieville Road, Suite 203, Woodbridge, VA 22192-0045 | 2006-07-18 |
| 1558619254 | Lake Ridge Anesthesia LLC | Anesthesiology | 12825 Minnieville Road, # 220, Woodbridge, VA 22192 | 2012-08-28 |
| 1972850808 | Lake Ridge Ambulatory Surgery Center, LLC | Clinic/Center | 12825 Minnieville Road, Suite 204, Woodbridge, VA 22192 | 2012-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396184057 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 14605 Potomac Branch Dr., Suite 300, Woodbridge, VA 22182 | 2013-06-17 |
| 1851532600 | Michael T Lu | Orthopaedic Surgery | 1000 Route 9 N Ste 306, Woodbridge, NJ 07095-1200 | 2009-03-07 |
| 1437300225 | Carl B. Lundborg | Orthopaedic Surgery | 4 Fox Hill Rd, Woodbridge, CT 06525 | 2008-10-10 |
| 1023110426 | Ghassem A Nejad | Orthopaedic Surgery | 2020 Optiz Blvd, B, Woodbridge, VA 22191 | 2006-09-05 |
| 1225657281 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 2296 Opitz Blvd Ste 210, Woodbridge, VA 22191-3345 | 2020-04-10 |
| 1467908061 | Privia Medical Group | Orthopaedic Surgery | 2010 Opitz Blvd Ste C, Woodbridge, VA 22191-3359 | 2016-09-01 |
| 1134567910 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 1958 Opitz Blvd, Woodbridge, VA 22191 | 2013-06-13 |
| 1114272457 | Owolabi Adebayo Shonuga | Orthopaedic Surgery | 14605 Potomac Branch Dr, Woodbridge, VA 22191 | 2012-07-23 |
| 1780972083 | Garden State Bone and Joint Specialists, LLC | Orthopaedic Surgery | 1000 Route 9 N Ste 306, Woodbridge, NJ 07095-1200 | 2011-07-20 |
| 1528290343 | Washington Orthopaedic & Spine Institute | Orthopaedic Surgery | 14904 Jefferson Davis Hwy, Suite #201, Woodbridge, VA 22191-3908 | 2009-08-12 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on GREATER METROPOLITAN ORTHOPAEDIC INSTITUTE.
| 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.