Provider Demographics
| NPI: | 1205854767 |
|---|---|
| Name: | GREATER METROPOLITAN ORTHOPAEDICS |
| Entity type: | Organization |
| Organization Name: | GREATER METROPOLITAN ORTHOPAEDICS |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | JEFFREY |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | SABLOFF |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 301-856-1682 |
| Mailing Address - Street 1: | 8926 WOODYARD RD |
| Mailing Address - Street 2: | SUITE 701 |
| Mailing Address - City: | CLINTON |
| Mailing Address - State: | MD |
| Mailing Address - Zip Code: | 20735-4220 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 301-856-1682 |
| Mailing Address - Fax: | 301-856-0964 |
| Practice Address - Street 1: | 8926 WOODYARD RD |
| Practice Address - Street 2: | SUITE 701 |
| Practice Address - City: | CLINTON |
| Practice Address - State: | MD |
| Practice Address - Zip Code: | 20735-4220 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 301-856-1682 |
| Practice Address - Fax: | 301-856-0964 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-07-17 |
| Last Update Date: | 2012-11-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
| No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
| No | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine | Group - Multi-Specialty |
| No | 207XX0004X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Foot and Ankle Surgery | Group - Multi-Specialty |
| No | 207XX0005X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine | Group - Multi-Specialty |
| No | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | Group - Multi-Specialty |
| No | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical | Group - Multi-Specialty |
| No | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | Group - Multi-Specialty |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| 2491418 | Other | AETNA GROUP PROVIDER # VIRGINIA LOCATION | |
| 1205140639 | Other | LORTON VIRGINIA LOCATION NPI | |
| 1801102504 | Other | WALDORF MARYLAND LOCATION NPI | |
| 2803674 | Other | AETNA GROUP PROVIDER # WALDORF LOCATION | |
| MD | S176 | Other | BCBS MD GRP PROVIDER# |
| 1194039511 | Other | SPRINGFIELD VIRGINIA LOCATION NPI | |
| 145530100 | Other | DEPARTMENT OF LABOR PROV# | |
| 1548576242 | Other | ALEXANDRIA VIRGINIA LOCATION NPI | |
| 21D1105636 | Other | CLIA NUMBER | |
| CI2264 | Other | RAILROAD MEDICARE PTAN | |
| 0254450001 | Other | MEDICARE NSC | |
| 0455415 | Other | AETNA GROUP PROVIDER # CLINTON LOCATION | |
| MD | DG8302 | Other | RAILROAD MEDICARE |
| DC | 4695 | Other | BCBS NCA GRP PROV# |
| 712403 | Other | UNITED HEALTH CARE/MAMSI GROUP PROVIDER# | |
| 1184930885 | Other | CLINTON MARYLAND LOCATION NPI | |
| 1942514450 | Other | MOUNT VERNON VIRGINIA LOCATION NPI | |
| 2491418 | Other | AETNA GROUP PROVIDER # VIRGINIA LOCATION | |
| 1205140639 | Other | LORTON VIRGINIA LOCATION NPI | |
| 0254450001 | Other | MEDICARE NSC | |
| I20600 | Medicare UPIN | ||
| H43852 | Medicare UPIN | ||
| B92844 | Medicare UPIN | ||
| 1801102504 | Other | WALDORF MARYLAND LOCATION NPI | |
| 1942514450 | Other | MOUNT VERNON VIRGINIA LOCATION NPI | |
| 2803674 | Other | AETNA GROUP PROVIDER # WALDORF LOCATION | |
| 21D1105636 | Other | CLIA NUMBER | |
| 712403 | Other | UNITED HEALTH CARE/MAMSI GROUP PROVIDER# | |
| 1548576242 | Other | ALEXANDRIA VIRGINIA LOCATION NPI | |
| G86663 | Medicare UPIN | ||
| B92934 | Medicare UPIN |
