Provider Demographics
NPI:1336589431
Name:CAPITAL ORTHOPAEDIC SPECIALISTS LLC
Entity Type:Organization
Organization Name:CAPITAL ORTHOPAEDIC SPECIALISTS LLC
Other - Org Name:DOCTORS COMMUNITY SURGICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:T
Authorized Official - Last Name:CROWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-599-1000
Mailing Address - Street 1:7404 EXECUTIVE PL
Mailing Address - Street 2:STE 300B
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2268
Mailing Address - Country:US
Mailing Address - Phone:301-599-9500
Mailing Address - Fax:301-856-7685
Practice Address - Street 1:7501 SURRATTS RD
Practice Address - Street 2:STE 110
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3362
Practice Address - Country:US
Practice Address - Phone:240-842-1434
Practice Address - Fax:301-868-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-03
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX3601133V00000X
MDD0000407207X00000X
MD205832251X0800X
MD03020225X00000X
MD06970235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty