1285817452 NPI number — WASHINGTON CIRCLE ORTHOPAEDIC ASSOCIATES PC

Table of content: (NPI 1285817452)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285817452 NPI number — WASHINGTON CIRCLE ORTHOPAEDIC ASSOCIATES PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WASHINGTON CIRCLE ORTHOPAEDIC ASSOCIATES PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285817452
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 WASHINGTON CIR NW
Provider Second Line Business Mailing Address:
SUITE 404
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20037-2356
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-333-2820
Provider Business Mailing Address Fax Number:
202-833-1410

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3 WASHINGTON CIR NW
Provider Second Line Business Practice Location Address:
SUITE 404
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20037-2356
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-333-2820
Provider Business Practice Location Address Fax Number:
202-833-1410
Provider Enumeration Date:
12/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MOSKOVITZ
Authorized Official First Name:
PETER
Authorized Official Middle Name:
ALAN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
202-333-2820

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  MD4949 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1033107883 . This is a "NPI-CF" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200030282 . This is a "MEDICARE RAILROAD CF" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 200042765 . This is a "MEDICARE RAILROAD JG" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 1568665131 . This is a "JS NPI" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 1952309684 . This is a "NPI-PM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1770747230 . This is a "NPI - DL" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 1801974068 . This is a "NPI-JG" identifier . This identifiers is of the category "OTHER".
  • Identifier: 406373049 . This is a "MEDICARE RAILROAD PM" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".




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