Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shady Grove Orthopaedic Assoc, PA

Organization Orthopaedic Surgery Physician · NPI 1669448437

Shady Grove Orthopaedic Assoc, PA is an Orthopaedic Surgery Physician in Rockville, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9601 Blackwell Rd Ste 100
Rockville, MD 20850-3241
Phone: (301) 340-0072
Fax: (301) 279-9358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence D0002443 (MD)

Record details

NPI number1669448437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Tuck — President · (301) 340-0072
NPI enumeratedFebruary 23, 2006
Last updated in NPPESOctober 23, 2020
Certification dateOctober 23, 2020
Mailing address9601 Blackwell Road Suite 100, Rockville, MD 20850-3241

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