Suburban Orthopaedic Total Joint and Sports Clinic, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SUBURBAN ORTHOPAEDIC TOTAL JOINT AND SPORTS CLINIC, P.C.

Practice address

10905 Fort Washington Rd
Suite #301
Fort Washington, MD 20744-5843

Phone

(301) 292-7440

Fax

(301) 292-3278

NPI assigned

Apr 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samir Azer, MD

Title

President

Phone

(301) 292-7440

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaun Khosla, M.D.

  • Orthopaedic Surgery Physician
  • Fort Washington, MD
  • NPI 1801805494
  NPD
• Michael Ercole, PT

  • Physical Therapist
  • Falls Church, VA
  • NPI 1477510071
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1093958985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 LIVINGSTON RD",
            "address_2": "SUITE #105",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445104",
            "telephone_number": "301-292-7440",
            "fax_number": "301-292-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 FORT WASHINGTON RD",
            "address_2": "SUITE #301",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445843",
            "telephone_number": "301-292-7440",
            "fax_number": "301-292-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN ORTHOPAEDIC TOTAL JOINT AND SPORTS CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "AZER",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-292-7440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sport & Spine Rehab of Fort Washington, LLC
• Sports Pro Physical Therapy South LLC
• William Stinson Jr.
• Amber C Stokes, PHARMD
• Strategic Screening & Diagnostics, LLC
• Suburban Orthopaedic,Total Joint and Sports Clinic,P.C.
• Rattanakorn Suksaby, OTR/L
• James Eugene Sullivan, D.D.S.
• Rediat Tadesse
• Zenash Gizaw Tadesse

• Physical Therapist in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.