Organization Active NPI

Risam and Risam, P.C.

  • Obstetrics & Gynecology Physician
  • Bowie, MD
National Provider Identifier
1598879736
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0032735 Issued in MD
Legal business name
RISAM AND RISAM, P.C.
Practice address
3060 Mitchellville Rd
Suite 210
Bowie, MD 20716-1389
Phone
(301) 249-4090
Fax
(301) 390-1344
NPI assigned
Aug 17, 2006
Organization subpart
Yes
Parent organization
RISAM AND RISAM P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Ms. Joy Mascetti
Title
Office Manager
Phone
(301) 249-4090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X D0032769 MD
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X D0032735 MD Primary

Addresses

Primary practice location

3060 Mitchellville Rd
Suite 210
Bowie, MD 20716-1389

Mailing address

3060 Mitchellville Rd
Suite 210
Bowie, MD 20716-1389
Phone (301) 249-4090

Other identifiers 1

IdentifierTypeStateIssuer
KN97RIOtherMDBCBS MD GROUP NUMBER

National Provider Directory

National Provider Directory
Part of
DRS Risam and Risam PC

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1598879736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 MITCHELLVILLE RD",
            "address_2": "SUITE 210",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161389",
            "telephone_number": "301-249-4090",
            "fax_number": "301-390-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 MITCHELLVILLE RD",
            "address_2": "SUITE 210",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161389",
            "telephone_number": "301-249-4090",
            "fax_number": "301-390-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISAM AND RISAM, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RISAM AND RISAM P.C.",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "MASCETTI",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-249-4090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0032769",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0032735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD GROUP NUMBER",
            "identifier": "KN97RI",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.