Stephanie Susan Durruthy, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0036443 Issued in MD

Practice address

5074 Dorsey Hall Dr
Suite 105
Ellicott City, MD 21042-7792

Phone

(410) 992-0272

Fax

(410) 964-0048

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720150287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5074 DORSEY HALL DR",
            "address_2": "SUITE 105",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427792",
            "telephone_number": "410-992-0272",
            "fax_number": "410-964-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5074 DORSEY HALL DR",
            "address_2": "SUITE 105",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427792",
            "telephone_number": "410-992-0272",
            "fax_number": "410-964-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRUTHY",
        "first_name": "STEPHANIE",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0036443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Duck, M.ED., BCBA
• Caitlin Brown Dunning, PSY.D.
• Laura Mezzanotte Durfee, M.S., CCC-SLP
• Joanna Ruth Durham, LCSW C
• Kevin Durrant, PTA
• George A Durst, M.D.
• Lynnor Mordeno Dychiu, PT
• East Point MD LLC
• Margaret Eleanor Easter, RN, NP
• Sophia Eby

• Psychiatry Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.