Organization Active NPI

Greater Metropolitan Orthopaedic Institute

  • Orthopaedic Surgery Physician
  • Waldorf, MD
National Provider Identifier
1801102504
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
GREATER METROPOLITAN ORTHOPAEDIC INSTITUTE
Practice address
11325 Pembrooke SQ
Waldorf, MD 20603-4807
Phone
(301) 856-1682
Fax
(301) 843-2946
NPI assigned
Aug 19, 2010
Last updated
Mar 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Jeffrey Sabloff, M.D.
Title
Owner
Phone
(301) 719-1169

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Rheumatology Physician 207RR0500X
Orthopaedic Surgery Physician 207X00000X Primary
Orthopaedic Hand Surgery Physician 207XS0106X
Orthopaedic Surgery of the Spine Physician 207XS0117X
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
Pain Medicine Physician 208VP0000X
Physical Therapist 225100000X
Physical Therapy Assistant 225200000X
Occupational Therapist 225X00000X

Addresses

Primary practice location

11325 Pembrooke SQ
Waldorf, MD 20603-4807

Mailing address

8926 Woodyard Rd
Suite 701
Clinton, MD 20735-4220
Phone (301) 856-1682

Other identifiers 7

IdentifierTypeStateIssuer
2803674OtherAETNA GROUP PROVIDER # WALDORF LOCATION
4695OtherCAREFIRST BCBS OF DC
S176OtherCAREFIRST MARYLAND
462LOtherMARYLAND MEDICARE
145530100OtherDEPARTMENT OF LABOR
DG8302OtherRAILROAD MEDICARE
176608OtherMETRO MEDICARE

National Provider Directory

National Provider Directory

Locations

11325 Pembrooke Sq
Waldorf, MD 20603
Phone (301) 719-1146

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1801102504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD",
            "address_2": "SUITE 701",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354220",
            "telephone_number": "301-856-1682",
            "fax_number": "301-856-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 PEMBROOKE SQ",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034807",
            "telephone_number": "301-856-1682",
            "fax_number": "301-843-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER METROPOLITAN ORTHOPAEDIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "SABLOFF",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-719-1169",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP PROVIDER # WALDORF LOCATION",
            "identifier": "2803674",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF DC",
            "identifier": "4695",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "S176",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND MEDICARE",
            "identifier": "462L",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "145530100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG8302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRO MEDICARE",
            "identifier": "176608",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.