Tara Guretzky, MD

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

License

D0077677 Issued in MD

Practice address

7625 Maple Lawn Blvd Ste 200
Fulton, MD 20759

Phone

(410) 412-2020

Fax

(301) 987-0097

NPI assigned

Aug 23, 2006

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Stephen R. Glaser M.D. P.C.

  • Ophthalmology Physician
  • Rockville, MD
  • NPI 1104145853
  NPD (past)
• Stephen R. Glaser M.D. P.C.

  • Optometrist
  • Rockville, MD
  • NPI 1417821919
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1659488294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15235 SHADY GROVE RD STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506273",
            "telephone_number": "301-330-1366",
            "fax_number": "301-987-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD STE 200",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "20759",
            "telephone_number": "410-412-2020",
            "fax_number": "301-987-0097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15235 Shady Grove Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208506273",
            "country_code": "US",
            "telephone_number": "301-330-1366",
            "fax_number": "301-987-0097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5283 Corporate Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217032879",
            "country_code": "US",
            "telephone_number": "301-253-3110",
            "fax_number": "301-987-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURETZKY",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "MD",
            "license": "D0077677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle D Greenberg, LCSW-C
• Judith Greengold, CRNP
• Taylor Greenwood
• Ruwani D.P. Gunawardane, M.D.
• Vajira R. P. Gunawardane, MD
• Kristin Hartoon Hairapetian, NP
• Harris Teeter, LLC
• Kavon Harris
• Lisa Nipkow Hawes, M.D.
• Troy Hawkins

• All providers in Fulton, MD
• Pediatric Ophthalmology and Strabismus Specialist Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.