Sophia Eun Ro, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0005645 Issued in MD

Practice address

9055 Chevrolet Dr Ste 203
Ellicott City, MD 21042-4000

Phone

(410) 750-9200

Fax

(410) 750-9211

NPI assigned

Dec 23, 2014

Last updated

Jun 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medstar Urgent Care LLC

  • General Practice Physician
  • Lexington Park, MD
  • NPI 1275410474
  NPD
• Medstar Urgent Care LLC

  dba MedStar PromptCare

  • Urgent Care Clinic/Center
  • Baltimore, MD
  • NPI 1902175870
  NPD
• MNR Industries, LLC

  dba ExpressCare of Westminster

  • Urgent Care Clinic/Center
  • Westminster, MD
  • NPI 1093042012
  NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1649089418
  NPD
• MNR Industries LLC

  dba ExpressCare of Mount Airy

  • Urgent Care Clinic/Center
  • Mount Airy, MD
  • NPI 1073963146
  NPD (past)

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1336537547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 CHEVROLET DR STE 203",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424000",
            "telephone_number": "410-750-9200",
            "fax_number": "410-750-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 CHEVROLET DR STE 203",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424000",
            "telephone_number": "410-750-9200",
            "fax_number": "410-750-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RO",
        "first_name": "SOPHIA",
        "middle_name": "EUN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Riordan, M.S.W.
• Jacqueline A Rita, PT
• Rite Aid of Maryland Inc (Rite Aid Pharmacy 00384)
• Rhiannon Alecia Rives, LGPC
• Emily Mary Rizzo, DPT
• Anne Elise Robbins
• Roberto Huie Jr. Enterprises, LLC
• Zulema Roberts, MS, LCPC
• Brittany Robey, M.A., C.A.S, NCSP
• Michael A. Robin, O.D.

• Physician Assistant in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.