Provider Demographics
NPI:1487831988
Name:OFFICE OF ORTHOPAEDIC MEDICINE AND SURGERY PC
Entity Type:Organization
Organization Name:OFFICE OF ORTHOPAEDIC MEDICINE AND SURGERY PC
Other - Org Name:LOUIS E. LEVITT MD PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEVITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-835-2222
Mailing Address - Street 1:1850 M ST NW
Mailing Address - Street 2:750
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5803
Mailing Address - Country:US
Mailing Address - Phone:202-835-2222
Mailing Address - Fax:202-969-1798
Practice Address - Street 1:1850 M ST NW
Practice Address - Street 2:750
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5803
Practice Address - Country:US
Practice Address - Phone:202-835-2222
Practice Address - Fax:202-969-1798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0372200001Medicare NSC
DCCI1324Medicare PIN
DC533077Medicare PIN