NPIMap

Organization Active NPI

Metrospine PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Clinton, MD
National Provider Identifier
1619556735
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
METROSPINE PC
Practice address
9001 Woodyard Rd
Suite a
Clinton, MD 20735-1400
Phone
(301) 856-5860
Fax
(301) 856-5864
NPI assigned
Apr 6, 2021
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
METROSPINE PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
George Drakes, MDNPI 1174613327
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

9001 Woodyard Rd
Suite a
Clinton, MD 20735-1400

Mailing address

6188 Oxon Hill Rd
Suite 100
Oxon Hill, MD 20745-1373
Phone (301) 856-5860

National Provider Directory

National Provider Directory
Tax ID family
Metro Spine PC5 organizations share this tax ID, including this one
Part of
Metro Spine PC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1619556735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD",
            "address_2": "SUITE 100",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451373",
            "telephone_number": "301-856-5860",
            "fax_number": "301-856-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WOODYARD RD",
            "address_2": "SUITE A",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351400",
            "telephone_number": "301-856-5860",
            "fax_number": "301-856-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROSPINE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METROSPINE PC",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "DRAKES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-856-5860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.