Healthcare Provider Details
I. General information
NPI: 1346249505
Provider Name (Legal Business Name): JOHN KLIMKIEWICZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/20/2005
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
DISTRICT ORTHOPAEDICS, PC 5454 WISCONSIN AVENUE, 1000
CHEVY CHASE MD
20815-6949
US
IV. Provider business mailing address
DISTRICT ORTHOPAEDICS, PC 5454 WISCONSIN AVENUE, 1000
CHEVY CHASE MD
20815-6949
US
V. Phone/Fax
- Phone: 301-882-2000
- Fax: 240-858-4291
- Phone: 301-882-2000
- Fax: 240-858-4291
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | 31543 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: