Orthosurg Physician Assistants of Maryland LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

62605 Issued in MD

Legal business name

ORTHOSURG PHYSICIAN ASSISTANTS OF MARYLAND LLC

Doing business as

OrthoSurg PAs of MD LLC

Practice address

6430 Rockledge Dr
Suite 510
Bethesda, MD 20817-1805

Phone

(202) 607-4356

NPI assigned

Sep 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Stephen Raffo, MD

Title

President

Phone

(202) 607-4356

Specialties & licenses 1

Addresses

Other names 1

• OrthoSurg PAs of MD LLC Doing business as

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1245632926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 ROCKLEDGE DR",
            "address_2": "SUITE 510",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171805",
            "telephone_number": "202-607-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 ROCKLEDGE DR",
            "address_2": "SUITE 510",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171805",
            "telephone_number": "202-607-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSURG PHYSICIAN ASSISTANTS OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "RAFFO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-607-4356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MD",
            "license": "62605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoSurg PAs of MD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sports Medicine (Orthopaedic Surgery) Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.