Active NPI
Ronald Prussick, MD,PC
- Specialist
- Bethesda, MD
National Provider Identifier
1790970259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0041493
- Legal business name
- RONALD PRUSSICK, MD,PC
- Practice address
- 7930 Old Georgetown Rd
Bethesda, MD 20814-2425 - Phone
- (301) 657-3622
- Fax
- (301) 657-3633
- NPI assigned
- Sep 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald Prussick, M.D.
- Title
- Physician/Owner
- Phone
- (301) 657-3622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0041493 | MD | Primary |
Addresses
Primary practice location
7930 Old Georgetown Rd
Bethesda, MD 20814-2425
Mailing address
7930 Old Georgetown Rd
Bethesda, MD 20814-2425
Phone (301) 657-3622
National Provider Directory
National Provider DirectoryLocations
61 Thomas Johnson Dr
#B
Frederick, MD 21702
Phone (240) 215-0454
198 Thomas Johnson Dr
Ste 5
Frederick, MD 21702
Phone (301) 624-5390
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Vernon Hills, IL
- NPI 1972540771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1790970259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7930 OLD GEORGETOWN RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142425",
"telephone_number": "301-657-3622",
"fax_number": "301-657-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7930 OLD GEORGETOWN RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142425",
"telephone_number": "301-657-3622",
"fax_number": "301-657-3633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD PRUSSICK, MD,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-07",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "PRUSSICK",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "301-657-3622",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D0041493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.