DR. JORGE A MONDINO (NPI# 1770580680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770580680 |
| Entity Type | Individual |
| Full Name | DR. JORGE A MONDINO |
| Credential | M.D. |
| Practice Address |
6192 Oxon Hill Rd Suite 200 Oxon Hill MD 20745-3114 |
| Practice Telephone | 3015677200 |
| Practice Fax Number | 3015672728 |
| Mailing Telephone | 3015672330 |
| Mailing Fax Number | 3015672728 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2011-05-03 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 0101032472 | VA | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | D0024059 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 00643431 | 05 |
| Street Address |
6192 OXON HILL RD SUITE 200 |
| City | OXON HILL |
| State | MD |
| Zip Code | 20745-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306199138 | Adedayo Kehinde Odeyale | Chiropractor | 6192 Oxon Hill Rd, 102, Oxon Hill, MD 20745-3114 | 2012-10-17 |
| 1376866731 | Maryland Family Resource, Inc. | Clinic/Center | 6192 Oxon Hill Rd, Suite 202, Oxon Hill, MD 20745-3114 | 2010-03-12 |
| 1952547150 | Mental Health Resources Plus, LLC | Clinical Neuropsychologist | 6192 Oxon Hill Rd, Suite 412, Oxon Hill, MD 20745-3114 | 2008-12-18 |
| 1083881973 | Ob/gyn Physicians of Mid-atlantic, Pllc | Obstetrics & Gynecology | 6192 Oxon Hill Rd, Suite 600, Oxon Hill, MD 20745-3114 | 2008-05-11 |
| 1235315888 | Jeral Tyler | Dentist | 6192 Oxon Hill Rd, Oxon Hill, MD 20745-3114 | 2008-01-14 |
| 1912199514 | Bendel Medical Associates LLC | Internal Medicine | 6192 Oxon Hill Rd, Ste 507, Oxon Hill, MD 20745-3114 | 2007-08-16 |
| 1548388150 | Jorge A Mondino, M. D., P.C. | Orthopaedic Surgery | 6192 Oxon Hill Rd, Suite 200, Oxon Hill, MD 20745-3114 | 2007-03-26 |
| 1548308182 | Sejal Shah | Dentist | 6192 Oxon Hill Rd, Oxon Hill, MD 20745-3114 | 2007-02-04 |
| 1639228976 | Rajinder Bhullar | Dentist | 6192 Oxon Hill Rd, 601, Oxon Hill, MD 20745-3114 | 2007-01-09 |
| 1427114305 | Michael Barry Rose | Psychologist | 6192 Oxon Hill Rd, Suite 403, Oxon Hill, MD 20745-3143 | 2006-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568086304 | Envue Eye & Laser Center LLC | Ophthalmology | 251 Harbor Blvd, Oxon Hill, MD 20745 | 2020-06-06 |
| 1902441264 | Dean Hasan | Pharmacist | 6163 Oxon Hill Road, National Harbor, MD 20745 | 2019-11-11 |
| 1093360570 | Ebony D Mckinley | Social Worker | 6188 Oxon Hill Road Suite 500, Oxon Hill, MD 20745 | 2019-08-02 |
| 1134691579 | Lisa Mellynchuk | Occupational Therapist | 1400 Nalley Terrance, Room 16, Landover, MD 20745 | 2018-12-26 |
| 1083102438 | Prince George's County Health Department | Family Medicine | 6701 Leyte Drive, Oxon Hill, MD 20745 | 2018-05-01 |
| 1841710746 | Courtnee Carroll | Technician | 5612 Dundalk Dr, Oxon Hill, MD 20745 | 2017-06-21 |
| 1699217679 | Charity Oronos | Physical Therapist | 6981 Oxon Hill Rd, Oxon Hill, MD 20745 | 2016-11-08 |
| 1689004913 | Gerald Jerome Smith | Dentist | 5306 Wheeler Road, Oxon Hill, MD 20745 | 2013-11-22 |
| 1427487644 | Harborside Urgent Care | Clinic/Center | 215 American Way, National Harbor, MD 20745 | 2013-11-07 |
| 1417385840 | Nursing Unlimited Services, Inc | Home Health | 909 East Meadow Ct, Oxon Hill, MD 20745 | 2013-10-22 |
| Find all providers in zip 20745 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134299142 | Eric Geoffrey Dawson | Orthopaedic Surgery | 6196 Oxon Hill Rd Ste 310, Oxon Hill, MD 20745-3134 | 2006-11-08 |
| 1326272675 | American International Orthopaedic Association, LLC | Orthopaedic Surgery | 6144 Oxon Hill Rd, Oxon Hill, MD 20745-3107 | 2009-05-14 |
| 1306024443 | Eric G. Dawson, M.d., PC | Orthopaedic Surgery | 6196 Oxon Hill Rd, Suite 310, Oxon Hill, MD 20745-3100 | 2008-01-31 |
| 1154308336 | Metro Wash Ortho Association | Orthopaedic Surgery | 6144 Oxon Hill Rd, Oxon Hill, MD 20745-3107 | 2005-12-28 |
| 1952388134 | Washington Orthopaedic Center | Orthopaedic Surgery | 6144 Oxon Hill Rd, Oxon Hill, MD 20745-3107 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364507 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 6707 Democracy Blvd Ste 504, Bethesda, MD 20817-1166 | 2020-10-21 |
| 1407478332 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 550 Ritchie Hwy Ste K, Severna Park, MD 21146-2953 | 2020-05-14 |
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1659910628 | Leah Corder | Orthopaedic Surgery | 1710 Roland Ave, Towson, MD 21204-3527 | 2019-12-23 |
| 1518504752 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | 12020 Wetherfield Ln, Potomac, MD 20854-1111 | 2019-12-06 |
| 1588207757 | Regenmd LLC | Orthopaedic Surgery | 7811 Montrose Rd Ste 330, Potomac, MD 20854-3363 | 2019-10-21 |
| 1942842307 | Christopher Caulfield | Orthopaedic Surgery | 508 Pafel Rd, Annapolis, MD 21401-1002 | 2019-10-16 |
| 1801454665 | Orthopedic Physicians of Annapolis LLC | Orthopaedic Surgery | 8109 Ritchie Hwy Ste 200, Pasadena, MD 21122-6917 | 2019-06-05 |
| 1578121323 | Orthopedic Physicians of Annapolis LLC | Orthopaedic Surgery | 1106 Annapolis Rd Ste 130, Odenton, MD 21113-1739 | 2019-06-05 |
| 1740754001 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 14090 Hg Trueman Rd Ste 1100, Solomons, MD 20688 | 2019-01-18 |
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| 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.