SHADY GROVE ORTHOPAEDIC ASSOC, PA (NPI# 1669448437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669448437 |
| Entity Type | Organization |
| Organization Name | SHADY GROVE ORTHOPAEDIC ASSOC, PA |
| Practice Address |
9601 Blackwell Road Suite 100 Rockville MD 20850-3241 |
| Practice Telephone | 3013400072 |
| Practice Fax Number | 3012799358 |
| Mailing Telephone | 3013400072 |
| Mailing Fax Number | 3012799358 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | MR. STEVEN L TUCK (PRESIDENT) |
| Authorized Official Telephone | 3013400072 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | D0002443 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MAMSI | 225292 | 01 |
| MD | BLUE SHIELD OF MARYLAND | H840SH | 01 |
| MD | MEDICARE RAILROAD | C10224 | 01 |
| MD | ADMINISTAR FEDERAL | 0549770001 | 01 |
| MD | BLUE SHIELD OF NCA | 4661 | 01 |
| Street Address |
9601 BLACKWELL ROAD SUITE 100 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| 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 |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1497800403 | Frederick Dm Moore | Orthopaedic Surgery | 501 Hungerford Dr Apt 461, Rockville, MD 20850-5154 | 2007-01-23 |
| 1497832083 | Lysa Charles | Orthopaedic Surgery | 2101 E Jefferson St Ppqa Medicare Compliance Unt 6 West, Kaiser Permanente Mid Atlantic Permanente Medical Group, Rockville, MD 20852-4908 | 2006-11-01 |
| 1528009255 | Brett Randall Quigley | Orthopaedic Surgery | 9601 Blackwell Rd, Suite 100, Rockville, MD 20850-3472 | 2006-06-10 |
| 1144279423 | David A. Levin | Orthopaedic Surgery | 9420 Key West Ave Ste 300, Rockville, MD 20850-6212 | 2006-05-06 |
| 1851367973 | Kenneth M Fine | Orthopaedic Surgery | 9420 Key Wesy Ave Ste 300, Rockville, MD 20850-6212 | 2006-02-28 |
| 1295719805 | Joseph A Shrout | Orthopaedic Surgery | 9601 Blackwell Rd Ste 100, Shady Grove Orthopaedics, Rockville, MD 20850-6477 | 2005-12-06 |
| 1033666433 | Shoulder, Hand & Elbow Orthopedic Specialist, LLC | Orthopaedic Surgery | 6000 Executive Blvd, Suite 510, Rockville, MD 20852-3803 | 2016-09-02 |
| 1518392224 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 9420 Key West Ave, Suite 400, Rockville, MD 20850 | 2013-09-12 |
| 1699114389 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 9420 Key West Ave, Suite 300, Rockville, MD 20850 | 2013-06-17 |
| Find all providers in ROCKVILLE | ||||
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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.