MEDICARE: GREATER METROPOLITAN ORTHOPAEDIC INSTITUTE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207RR0500X	Rheumatology Physician
2	207XS0106X	Orthopaedic Hand Surgery Physician
3	207XS0117X	Orthopaedic Surgery of the Spine Physician
4	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician
5	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
6	208VP0000X	Pain Medicine Physician
7	225100000X	Physical Therapist
8	225200000X	Physical Therapy Assistant
9	225X00000X	Occupational Therapist
10	363AS0400X	Surgical Physician Assistant
11	207X00000X	Orthopaedic Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	176608	OTHER	METRO MEDICARE
2	DG8302	OTHER	RAILROAD MEDICARE
6	462L	OTHER	MARYLAND MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
3	2803674	OTHER	AETNA GROUP PROVIDER # WALDORF LOCATION
4	S176	OTHER	CAREFIRST MARYLAND
5	145530100	OTHER	DEPARTMENT OF LABOR
7	4695	OTHER	CAREFIRST BCBS OF DC

General Provider Information

NPI Number	:	1801102504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER METROPOLITAN ORTHOPAEDIC INSTITUTE

Provider Business Mailing Address
First Line	:	8926 WOODYARD RD
Second Line	:	SUITE 701
City	:	CLINTON
State	:	MD
Zip	:	20735-4220
Country	:	US
Telephone Number	:	301-856-1682
Fax Number	:	301-856-8214

Provider Business Practice Location Address
First Line	:	11325 PEMBROOKE SQ
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20603-4807
Country	:	US
Telephone Number	:	301-856-1682
Fax Number	:	301-843-2946

Authorized Official
Title or Position	:	OWNER
Name	:	JEFFREY SABLOFF
Credential	:	M.D.
Telephone Number	:	301-719-1169

Provider Enumeration Date	:	08/19/2010
Last Update Date	:	03/18/2011

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Directions to “GREATER METROPOLITAN ORTHOPAEDIC INSTITUTE ” Practice Location

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