METROSPINE PC (NPI# 1710537717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710537717 |
| Entity Type | Organization |
| Organization Name | METROSPINE PC |
| Practice Address |
1310 Southern Avenue Suite 202 Washington DC 20032-1400 |
| Practice Telephone | 3018565860 |
| Practice Fax Number | 3018565864 |
| Mailing Telephone | 3018565860 |
| Mailing Fax Number | 3018565864 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | GEORGE DRAKES (CEO) |
| Authorized Official Telephone | 3018565860 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | METROSPINE PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518327402 | Metrospine PC | Clinical Medical Laboratory | 9001 Woodyard Rd, Suite A, Clinton, MD 20735-4264 | 2016-03-04 |
| 1861860116 | Metrospine PC | Physical Medicine & Rehabilitation | 6188 Oxon Hill Rd, Suite 100, Oxon Hill, MD 20745-3113 | 2015-09-03 |
| Street Address |
1310 SOUTHERN AVENUE SUITE 202 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699834630 | Patrik Lennart Johansson | Internal Medicine | 1310 Southern Avenue, Suite 200, Washington, DC 20009 | 2006-12-06 |
| 1063805398 | Christiana Buller-jarrett | Nurse Practitioner | 1310 Southern Avenue, Washington, DC 20032-0000 | 2015-03-11 |
| 1457533135 | Capitol Medical Center LLC | Religious Nonmedical Health Care Institution | 1310 Southern Avenue, Washington, DC 20032 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336233881 | Praxedes Villacastin Belandres | Physical Medicine & Rehabilitation | Walter Reed Army Medical Center, 6900 Georgia Ave Nw, Bldg 41, Suite 021, Washington, DC 20307-5001 | 2006-10-02 |
| 1053324798 | Wenhui Cao | Physical Medicine & Rehabilitation | 240 Wellness Way, Washington, PA 15301-9697 | 2006-08-14 |
| 1124486220 | South Hills Rehab Assocaites, Inc. | Physical Medicine & Rehabilitation | 378 W Chestnut St, Suite 105, Washington, PA 15301-4659 | 2016-02-03 |
| 1982977807 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 3 Washington Cir Nw, Suite 305, Washington, DC 20037-2356 | 2012-02-23 |
| 1114045341 | Mehul Jagdish Desai | Physical Medicine & Rehabilitation | 2141 K St Nw, Suite 600, Washington, DC 20037-1810 | 2007-03-26 |
| 1790854206 | Interventional Pain Institute, Incorporated | Physical Medicine & Rehabilitation | 378 W Chestnut St, Suite 105, Washington, PA 15301-4659 | 2006-11-07 |
| City | WASHINGTON |
| Zip Code | 20032 |
Please comment or provide details below to improve the information on METROSPINE PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.