Active NPI
Dana K Rasmussen, P.A.
- Physician Assistant
- Baltimore, MD
National Provider Identifier
1508951690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0004627
- Practice address
- 2700 Quarry Lake Drive
Suite 300
Baltimore, MD 21209 - Phone
- (410) 377-8900
- Fax
- (410) 377-9206
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0002451 | MD | |
| Physician Assistant | 363A00000X | MA0532470 | PA | |
| Physician Assistant | 363A00000X | C0004627 | MD | Primary |
Addresses
Primary practice location
2700 Quarry Lake Drive
Suite 300
Baltimore, MD 21209
Mailing address
920 Elkridge Landing Rd
Suite 300
Linthicum, MD 21090-2917
Phone (410) 684-2031
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0002451 | MD | MD | Physician Assistant |
| C0004627 | MD | MD | Physician Assistant |
| MA0532470 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1508951690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 ELKRIDGE LANDING RD",
"address_2": "SUITE 300",
"city": "LINTHICUM",
"state": "MD",
"postal_code": "210902917",
"telephone_number": "410-684-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 QUARRY LAKE DRIVE",
"address_2": "SUITE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21209",
"telephone_number": "410-377-8900",
"fax_number": "410-377-9206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "DANA",
"middle_name": "K",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0002451",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA0532470",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0004627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.