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PHS ORTHOPAEDICS ROCKVILLE NPI 1962771303


NPI Information

NPI: 1962771303
Provider Name: PHS ORTHOPAEDICS ROCKVILLE

Other Name: PROVIDENCE HEALTH SERVICES

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
9707 MEDICAL CENTER DR
SUITE 310
ROCKVILLE, MD
ZIP 20850
Phone: (301) 315-6380
Get Directions

PHS ORTHOPAEDICS ROCKVILLE is an orthopaedic surgery in Rockville, MD. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. PHS ORTHOPAEDICS ROCKVILLE NPI is 1962771303. The provider is registered as an organization entity type.
The provider Other Name Is Providence Health Services.

The provider's business location address is:

9707 MEDICAL CENTER DR
SUITE 310
ROCKVILLE, MD
ZIP 20850-348
Phone: (301) 315-6380
Fax: (301) 315-6382

The provider's authorized official is Charles F Haberkern .
The authorized official title is Vp and has the following contact phone number (202) 854-4255.

The enumeration date for this NPI number is 12/14/2011 and was last updated on 9/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care HospitalHFD01-0212DISTRICT OF COLUMBIANo
2207X00000XOrthopaedic SurgeryHFD01-0212DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109810714MEDICAIDVIRGINIA
2029833400MEDICAIDDISTRICT OF COLUMBIA
3005145400MEDICAIDMARYLAND
4090006MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.