NPIMap

Organization Active NPI

Ricardo O Pyfrom MD PA

  • Orthopaedic Surgery Physician
  • Glenn Dale, MD
National Provider Identifier
1174777312
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0053494 Issued in MD
Legal business name
RICARDO O PYFROM MD PA
Practice address
12150 Annapolis Rd
Suite 305
Glenn Dale, MD 20769-9183
Phone
(301) 809-2515
Fax
(301) 809-2574
NPI assigned
Nov 14, 2008
Last updated
Nov 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Julie A Wiehe
Title
Billing Manager
Phone
(703) 327-5316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X D0053494 MD Primary

Addresses

Primary practice location

12150 Annapolis Rd
Suite 305
Glenn Dale, MD 20769-9183

Mailing address

6035 Burke Centre Pkwy
Suite 390
Burke, VA 22015-3750
Phone (703) 327-5316

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1174777312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 BURKE CENTRE PKWY",
            "address_2": "SUITE 390",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153750",
            "telephone_number": "703-327-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD",
            "address_2": "SUITE 305",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "301-809-2515",
            "fax_number": "301-809-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO O PYFROM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "WIEHE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "703-327-5316",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0053494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.