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1295719805

NPI Code Detail

MEDICARE: JOSEPH A SHROUT MD

MEDICARE: JOSEPH A SHROUT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician	D0661306	MD
2	207X00000X	Orthopaedic Surgery Physician	D0061306	MD
3	207XS0106X	Orthopaedic Hand Surgery Physician	D0061306	MD
4	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	D0061306	MD

General Provider Information

NPI Number	:	1295719805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A SHROUT MD

Provider Business Mailing Address
First Line	:	10834 BURBANK DR
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-1556
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9601 BLACKWELL RD STE 100
Second Line	:	SHADY GROVE ORTHOPAEDICS
City	:	ROCKVILLE
State	:	MD
Zip	:	20850-6477
Country	:	US
Telephone Number	:	301-340-9200
Fax Number	:	301-340-6934

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	03/08/2016

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Directions to “ JOSEPH A SHROUT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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