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Organization
BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC
Active
Organization
BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC
Active
Other names
Washington Sports Medicine Institute, Shady Grove Orthopaedics, Washington D.C.- K Street Therapy Office, Jordan-Young Institute
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK GRASMEDER (CHIEF ADMINISTRATIVE OFFICER)
(240) 482-2412
Entity
Organization
Contact information
Practice address
10215 FERNWOOD RD, #506, BETHESDA, MD 20817-1106
(301) 530-1010
Mailing address
10215 FERNWOOD RD, #506, BETHESDA, MD 20817-1106
(301) 530-1010
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
639500700
—
MD
01
—
894071
PTAN
MD
Enumeration date
07/04/2006
Last updated
08/19/2024
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