Active NPI
Metrospine PC
- Specialist
- Oxon Hill, MD
National Provider Identifier
1194844357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 18045
- Legal business name
- METROSPINE PC
- Practice address
- 6196 Oxon Hill
Suite 510
Oxon Hill, MD 20745-1400 - Phone
- (301) 567-2100
- Fax
- (301) 567-2399
- NPI assigned
- Mar 28, 2007
- Last updated
- May 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Hudson Drakes, MD
- Title
- Ceo
- Phone
- (301) 856-5860
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2816 | DC | |
| Specialist | 174400000X | 4331 | TN | |
| Specialist | 174400000X | 2569 | SC | |
| Specialist | 174400000X | D0042188 | MD | |
| Specialist | 174400000X | 18045 | MD | Primary |
Addresses
Primary practice location
6196 Oxon Hill
Suite 510
Oxon Hill, MD 20745-1400
Mailing address
6196 Oxon Hill
Suite 510
Oxon Hill, MD 20745-1400
Phone (301) 567-2100
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168621600 | Medicaid | MD | |
| 043570100 | Other | DC | DR DRAKES DC MEDICAID |
| 4162340001 | Other | MD | METROSPINE MD MEDICAID |
| 00B 111C40 | Other | MD | MEDICARE INDIVIDUAL |
| DD2519 | Other | MD | MEDICARE RAILROAD # |
| 055880600 | Other | DC | DC MEDICAID METRO SPINE |
| S120-0001 | Other | MD | CAREFIRST BLUECROSS BLUES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
6188 Oxon Hill Rd
Ste 100
Oxon Hill, MD 20745
Phone (301) 567-2100
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Oxon Hill, MD
- NPI 1174613327
DC, Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653436800000",
"number": "1194844357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6196 OXON HILL",
"address_2": "SUITE 510",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207451400",
"telephone_number": "301-567-2100",
"fax_number": "301-567-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6196 OXON HILL",
"address_2": "SUITE 510",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207451400",
"telephone_number": "301-567-2100",
"fax_number": "301-567-2399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROSPINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A",
"authorized_official_last_name": "DRAKES",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "HUDSON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-856-5860",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "DC",
"license": "2816",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "4331",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "2569",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0042188",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "18045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168621600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR DRAKES DC MEDICAID",
"identifier": "043570100",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METROSPINE MD MEDICAID",
"identifier": "4162340001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL",
"identifier": "00B 111C40",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD #",
"identifier": "DD2519",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC MEDICAID METRO SPINE",
"identifier": "055880600",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECROSS BLUES",
"identifier": "S120-0001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxon Hill, MD
- Meridian Partial Hospitalization & Rehabilitation LLC
- Metro Wash Ortho Association (physical medicine rehabilitation center)
- Metropolitan Washington Orthopaedic Association
- Metropolitan Washington Orthopaedic Association
- Metrospine PC
- Metrospine PC
- Dumeka Tisha Miller, LMT
- Nicole A Miller, LGSW
- Miracle Houses, Inc.
- Roy L Mitchell, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.