Provider Demographics
NPI:1457561847
Name:CAPITOL ORTHOPAEDICS AND REHABILITATION, LLC
Entity Type:Organization
Organization Name:CAPITOL ORTHOPAEDICS AND REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:ROCKOWER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-770-7900
Mailing Address - Street 1:6000 EXECUTIVE BLVD
Mailing Address - Street 2:SUITE 510
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3803
Mailing Address - Country:US
Mailing Address - Phone:301-770-7900
Mailing Address - Fax:301-770-7904
Practice Address - Street 1:6000 EXECUTIVE BLVD
Practice Address - Street 2:SUITE 510
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3803
Practice Address - Country:US
Practice Address - Phone:301-770-7900
Practice Address - Fax:301-770-7904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG00727Medicare UPIN
MD6306120001Medicare NSC