Provider Demographics
NPI:1275292203
Name:WASHINGTON ORTHOPAEDICS AND SPORTS MEDICINE, P.A.
Entity Type:Organization
Organization Name:WASHINGTON ORTHOPAEDICS AND SPORTS MEDICINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:IVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-482-4550
Mailing Address - Street 1:5454 WISCONSIN AVE STE 1000
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6949
Mailing Address - Country:US
Mailing Address - Phone:301-657-1996
Mailing Address - Fax:
Practice Address - Street 1:2021 K ST NW STE 516
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-833-1147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WASHINGTON ORTHOPAEDICS & SPORTS MEDICIN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-17
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty