Basic Information
Provider Information
NPI: 1225482060
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHAPIRO
FirstName: JOSHUA
MiddleName: ADAM
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2445 ARMY NAVY DR
Address2:  
City: ARLINGTON
State: VA
PostalCode: 222062988
CountryCode: US
TelephoneNumber: 7038926500
FaxNumber:  
Practice Location
Address1: 2445 ARMY NAVY DR
Address2:  
City: ARLINGTON
State: VA
PostalCode: 222062988
CountryCode: US
TelephoneNumber: 7038926500
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/18/2016
LastUpdateDate: 07/22/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/22/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XD0094473MDN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X217892NCN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X0101274402VAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


Home