Organization Active NPI

Ronald Prussick, MD,PC

  • Specialist
  • Bethesda, MD
National Provider Identifier
1790970259
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0041493 Issued in MD
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

Updated by the provider on Jun 27, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.