Active NPI
Risam and Risam, P.C.
- Obstetrics & Gynecology Physician
- Bowie, MD
National Provider Identifier
1598879736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D0032735
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0032769 | MD | |
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KN97RI | Other | MD | BCBS 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.