NPIMap

Organization Active NPI

Potomac Valley Orthopedic Assoc, Chartered

  • Orthopaedic Surgery Physician
  • Olney, MD
National Provider Identifier
1245348549
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0019012 Issued in MD
Legal business name
POTOMAC VALLEY ORTHOPEDIC ASSOC, CHARTERED
Doing business as
Potomac Valley Sports Medicine
Practice address
3414 Olandwood CT
Olney, MD 20832-1384
Phone
(301) 774-0501
Fax
(301) 774-1186
NPI assigned
Aug 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Dr. Daniel Tang, M.D.
Title
President
Phone
(301) 774-0500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X D0019012 MD Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X D0019012 MD

Addresses

Primary practice location

3414 Olandwood CT
Olney, MD 20832-1384

Mailing address

PO Box 960
Olney, MD 20830-0960
Phone (301) 774-0501

Other names 1

  • Potomac Valley Sports Medicine Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

15245 Shady Grv Rd
Ste 170
Baltimore, MD 21279

10700 Charter Dr
Ste 100A
Columbia, MD 21044
Phone (410) 910-2351

19231 Montgomery Village Ave
Ste D11
Montgomery Village, MD 20886
Phone (301) 977-3605

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1245348549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208300960",
            "telephone_number": "301-774-0501",
            "fax_number": "301-774-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 OLANDWOOD CT",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321384",
            "telephone_number": "301-774-0501",
            "fax_number": "301-774-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC VALLEY ORTHOPEDIC ASSOC, CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-774-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0019012",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0019012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potomac Valley Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.