Active NPI
Ronda Herry, CDIP
- Physician Assistant
- Gwynn Oak, MD
National Provider Identifier
1487352480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3607 Forest Hill Rd
Gwynn Oak, MD 21207-6344 - Phone
- (443) 440-4479
- NPI assigned
- Feb 20, 2023
- Last updated
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3607 Forest Hill Rd
Gwynn Oak, MD 21207-6344
Mailing address
3607 Forest Hill Rd
Gwynn Oak, MD 21207-6344
Phone (443) 440-7479
Other names 1
- Ronda Herry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1487352480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3607 FOREST HILL RD",
"city": "GWYNN OAK",
"state": "MD",
"postal_code": "212076344",
"telephone_number": "443-440-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3607 FOREST HILL RD",
"city": "GWYNN OAK",
"state": "MD",
"postal_code": "212076344",
"telephone_number": "443-440-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRY",
"first_name": "RONDA",
"credential": "CDIP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RONDA",
"last_name": "HERRY",
"credential": "CDIP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Gwynn Oak, MD
- Gwynoak Pharmacy Inc (Gwynoak Pharmacy)
- Stacey A Harcum, OTR/L
- Linda Hassan, RN, MS, BSN
- Healthcare Management & Recruiting Resources
- Hearts of Gold Home Health Agency, LLC
- Aliyah Hines, BT
- Hasan Abdul Hooper, CST, CSA
- Hope Health Systems
- Hope Health Systems Inc
- Hope Health Systems Inc (Hope Health Systems LAB)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.