Individual provider Active NPI

Wayne Mark Rozran, M. D.

  • Orthopaedic Surgery Physician
  • Prince Frederick, MD
National Provider Identifier
1740256080
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0033015 Issued in MD
Practice address
220 Solomons Island Rd N
Prince Frederick, MD 20678-3926
Phone
(410) 535-4884
Fax
(410) 535-4509
NPI assigned
Feb 27, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D0033015 MD Primary

Addresses

Primary practice location

220 Solomons Island Rd N
Prince Frederick, MD 20678-3926

Mailing address

220 Solomons Island Rd N
Prince Frederick, MD 20678-3926
Phone (410) 535-4884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100504000408 MD Practitioner - Orthopedic Surgery 5395899959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Drexel University College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16 N la Plata CT
La Plata, MD 20646-4283
Phone (301) 392-3330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0033015MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics and Sports Medicine Orthopaedic Surgery CurrentSince Dec 1, 2020 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Dec 1, 2020 Accepting new patients
Up Orthopedics LLC Orthopaedic Surgery Past Accepting new patients

Locations

8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334

16 N La Plata Ct
La Plata, MD 20646
Phone (301) 392-3330

5 N La Plata Ct
Ste 203
La Plata, MD 20646
Phone (240) 307-4700

14201 Park Center Dr
Ste 408
Laurel, MD 20707
Phone (301) 685-3805

14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334

220 Solomons Island Rd N
Prnc Frederck, MD 20678
Phone (410) 535-4884

12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333

Interoperability endpoints

  • Direct secure messaging: wrozran@precisionmsk.emadirect.md

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1740256080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SOLOMONS ISLAND RD N",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783926",
            "telephone_number": "410-535-4884",
            "fax_number": "410-535-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SOLOMONS ISLAND RD N",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783926",
            "telephone_number": "410-535-4884",
            "fax_number": "410-535-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZRAN",
        "first_name": "WAYNE",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0033015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.