WASHINGTON SPORTS MEDICINE INSTITUTE
Complete NPI Record 1477583599
Orthopaedic Surgery in Bethesda, MD
Active since July 04, 2006
Complete NPI Dataset
This page contains the complete raw NPPES record for Washington Sports Medicine Institute (NPI 1477583599), an orthopaedic surgery organization in Bethesda, MD. All 49 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1477583599 Field 1/49
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/49
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/49
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC Field 4/49
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: WASHINGTON SPORTS MEDICINE INSTITUTE Field 5/49
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 3 Field 6/49
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 10215 FERNWOOD RD Field 7/49
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Second Line Business Mailing Address: #506 Field 8/49
- The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
- Provider Business Mailing Address City Name: BETHESDA Field 9/49
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: MD Field 10/49
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 208171106 Field 11/49
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 12/49
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 3015301010 Field 13/49
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 10215 FERNWOOD RD Field 14/49
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Second Line Business Practice Location Address: #506 Field 15/49
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: BETHESDA Field 16/49
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: MD Field 17/49
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 208171106 Field 18/49
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 19/49
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 3015301010 Field 20/49
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: GRASMEDER Field 23/49
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: CHUCK Field 24/49
- The first name of the authorized official.
- Authorized Official Title or Position: CHIEF ADMINISTRATIVE OFFICER Field 25/49
- The title or position of the authorized official.
- Authorized Official Telephone Number: 2404822412 Field 26/49
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 207X00000X Field 27/49
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 28/49
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 207XS0106X Field 29/49
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 30/49
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 3: 207XS0117X Field 31/49
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 3: N Field 32/49
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 4: 207XX0004X Field 33/49
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 4: N Field 34/49
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 5: 207XX0005X Field 35/49
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 5: N Field 36/49
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 639500700 Field 37/49
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 05 Field 38/49
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: MD Field 39/49
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier 2: 894071 Field 40/49
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 2: 01 Field 41/49
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 2: MD Field 42/49
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier Issuer 2: PTAN Field 43/49
- The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
- Is Organization Subpart: N Field 44/49
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 45/49
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP Field 46/49
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP Field 47/49
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP Field 48/49
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Other Organization Names 3
Additional business and trade names this provider has on file with the NPPES registry.
Jordan-Young Institute Doing Business As
Name 1/3Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Shady Grove Orthopaedics Doing Business As
Name 2/3Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Washington D.C.- K Street Therapy Office Doing Business As
Name 3/3Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 11
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
19735 Germantown Rd Ste 120
Location 1/11Germantown, MD 20874-1225 · Phone (301) 530-1010
3835 Plyers Mill Rd
Location 2/11Kensington, MD 20895-2015 · Phone (301) 222-0577 · Fax (301) 530-3030
829 Lynnhaven Pkwy Ste 127-129
Location 3/11Virginia Beach, VA 23452-7224 · Phone (757) 961-7271 · Fax (757) 961-7276
2021 K St NW Ste 610
Location 4/11Washington, DC 20006-1058 · Phone (240) 395-1522 · Fax (202) 525-2671
4420 Fairfax Dr Ste 100
Location 5/11Arlington, VA 22203-4190 · Phone (703) 419-3002 · Fax (571) 970-4471
5712 Cleveland St Ste 250
Location 6/11Virginia Beach, VA 23462-1783 · Phone (757) 961-7271 · Fax (757) 961-7276
1635 N George Mason Dr Ste 180
Location 7/11Arlington, VA 22205-3633 · Phone (301) 530-1010
9601 Blackwell Rd Ste 100
Location 8/11Rockville, MD 20850-6477 · Phone (301) 530-1010
8401 Greensboro Dr Ste 120
Location 9/11Mc Lean, VA 22102-5101 · Phone (301) 530-1010 · Fax (301) 897-8597
1701 Clarendon Blvd Ste 120
Location 10/11Arlington, VA 22209-4800 · Phone (301) 530-1010
5716 Cleveland St Ste 200
Location 11/11Virginia Beach, VA 23462-1784 · Phone (757) 490-4802
Other Provider Identifiers 2
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
639500700 Medicaid
Identifier 1/2State: MD
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
894071 Other
Identifier 2/2State: MD · Issuer: Ptan
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
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