GAUTAM SIRAM, MD, PC (NPI# 1902153190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902153190 |
| Entity Type | Organization |
| Organization Name | GAUTAM SIRAM, MD, PC |
| Practice Address |
5530 Wisconsin Ave Ste 1660 Chevy Chase MD 20815-4322 |
| Practice Telephone | 3016579876 |
| Mailing Telephone | 3016579876 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |
| Authorized Official Name | DR. GAUTAM SIRAM (DIRECTOR) |
| Authorized Official Telephone | 3017854559 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
D0074565 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
5530 WISCONSIN AVE STE 1660 |
| City | CHEVY CHASE |
| State | MD |
| Zip Code | 20815-4322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558530287 | The Training Room Inc | Durable Medical Equipment & Medical Supplies | 5530 Wisconsin Ave Ste 1660, Chevy Chase, MD 20815-4322 | 2008-02-27 |
| 1992347793 | Carl Joseph Durias | Registered Nurse | 5530 Wisconsin Ave Ste 1660, Chevy Chase, MD 20815-4322 | 2019-10-13 |
| 1053896258 | Molly Mahoney | Nurse Practitioner | 5530 Wisconsin Ave Ste 1660, Chevy Chase, MD 20815-4322 | 2018-10-03 |
| 1558604215 | Eve Hoffman | Orthopaedic Surgery | 5530 Wisconsin Ave Ste 1660, Chevy Chase, MD 20815-4322 | 2013-04-01 |
| 1689820672 | Gautam Siram | Orthopaedic Surgery | 5530 Wisconsin Ave Ste 1660, Chevy Chase, MD 20815-4322 | 2008-08-11 |
| 1659538726 | Alison Fischer Kitay | Orthopaedic Surgery | 5530 Wisconsin Ave Ste 1660, Chevy Chase, MD 20815-4322 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456454 | Sarah Trandel-korenchuk | Nurse Practitioner | 4622 Norwood Drive, Chevy Chase, MD 20815 | 2020-08-04 |
| 1730709254 | Lorelyn Pierola | Physical Therapist | 8700 Jones Mill Road, Chevy Chase, MD 20815 | 2020-04-24 |
| 1194292391 | Bradley T Nguyen | Student in an Organized Health Care Education/Training Program | 5454 Wisconsic Ave, Bethesda, MD 20815 | 2018-10-26 |
| 1053897652 | Seth Parker Worthing | Orthopaedic Surgery | 5454 Wisconsin Ave Ste 1000, Chevy Chase, MD 20815 | 2018-07-17 |
| 1104310382 | Brendan F. Burke, M.d., L.L.C. | Obstetrics & Gynecology | 5530 Wisconsin Ave Ste 850, Chevy Chase, MD 20815 | 2018-06-20 |
| 1740778240 | Miriam Brazer | Student in an Organized Health Care Education/Training Program | 4810 Bradley Blvd, Chevy Chase, MD 20815 | 2018-04-30 |
| 1285131201 | Juventino Aceves | Speech-Language Pathologist | 5530 Wisconsin, Chevy Chase, MD 20815 | 2018-04-06 |
| 1386167351 | Seth A. Greenblatt | Social Worker | 2 Wisconsin Circle, Suite 700, Your Health Concierge, Inc, Bethesda, MD 20815 | 2017-07-21 |
| 1932636990 | Katelyn Marie Engbert | Registered Nurse | 4717 Morgan Dr, Chevy Chase, MD 20815 | 2017-05-20 |
| 1043752512 | Erin Leeland Nes | Marriage & Family Therapist | 4405 East West Highway Suite 408, Bethesda, MD 20815 | 2016-11-15 |
| Find all providers in zip 20815 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915487 | Antoni Bernard Goral | Orthopaedic Surgery | 8401 Connecticut Ave, Suite 800, Chevy Chase, MD 20815-5803 | 2005-07-11 |
| 1871607465 | Richard Mark Grossman | Orthopaedic Surgery | 5454 Wisconsin Ave, Suite 1000, Chevy Chase, MD 20815-6901 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346361524 | Avigdor Izsak Niv | Orthopaedic Surgery | 2119 Sugarcone Rd, Baltimore, MD 21209-1027 | 2007-04-03 |
| 1710949409 | Shawn Kay Grandia | Orthopaedic Surgery | 187 Thomas Johnson Dr Ste 1, Frederick, MD 21702-4445 | 2006-04-06 |
| 1891783114 | Peter R Jay | Orthopaedic Surgery | 2700 Quarry Lake Dr, Suite 300, Baltimore, MD 21209-3742 | 2005-10-11 |
| 1790338341 | Marissa Elizabeth Bonyun | Orthopaedic Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2019-07-23 |
| 1407297724 | John Vincent Thompson | Orthopaedic Surgery | 2401 W Belvedere Ave, Baltimore, MD 21215 | 2013-07-15 |
| 1235570839 | Pablo Wagner | Orthopaedic Surgery | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2013-07-11 |
| 1831471234 | St. Paul Place Specialists, Inc. | Orthopaedic Surgery | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2011-09-13 |
| 1376836015 | Kevin Mccoy | Orthopaedic Surgery | 510 Idlewild Ave Ste 200, Easton, MD 21601-3883 | 2011-05-26 |
| 1104007079 | Robert Paxton Mckinstry | Orthopaedic Surgery | 3333 N Calvert St, Suite 400, Baltimore, MD 21218-2867 | 2007-11-20 |
| 1316127319 | Raj Yalamanchili | Orthopaedic Surgery | 510 Upper Chesapeake Dr, Suite 417, Bel Air, MD 21014-4328 | 2007-11-07 |
| Find all providers with the same taxonomy | ||||
| City | CHEVY CHASE |
| Zip Code | 20815 |
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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.