Bethesda Chevy Chase Orthopaedic Associates, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC

Practice address

5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784

Phone

(757) 490-4802

NPI assigned

Oct 23, 2023

Organization subpart

Yes

Parent organization

BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Chuck Grasmeder

Title

Regional Director of Operations

Phone

(240) 482-2412

Specialties & licenses 2

Addresses

Other names 1

• Jordan-Young Institute Doing business as

Part of

Bethesda Chevy Chase Orthopaedic Associates LLC

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1376315580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 CLEVELAND ST STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621784",
            "telephone_number": "757-490-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 CLEVELAND ST STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621784",
            "telephone_number": "757-490-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "GRASMEDER",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "240-482-2412"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan-Young Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.