Ruth N. Agwuna M.D.P.C

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RUTH N. AGWUNA M.D.P.C

Practice address

5084 Dorsey Hall Dr Ste 104
Ellicott City, MD 21042-7892

Phone

(410) 772-9463

Fax

(410) 992-3509

NPI assigned

Feb 19, 2019

Last updated

Feb 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ngozi Ruth Agwuna, M.DNPI 1033102348

Title

President

Phone

(410) 772-9463

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ngozi Ruth Agwuna, M.D.

  • Pediatric Adolescent Medicine Physician
  • Ellicott City, MD
  • NPI 1033102348
  NPD (past) Authorized official
• Maureen Ifeacho

  • Family Nurse Practitioner
  • Towson, MD
  • NPI 1295354017
  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1801352448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5084 DORSEY HALL DR STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427892",
            "telephone_number": "410-772-9463",
            "fax_number": "410-992-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 DORSEY HALL DR STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427892",
            "telephone_number": "410-772-9463",
            "fax_number": "410-992-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH N. AGWUNA M.D.P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "AGWUNA",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-772-9463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2805110",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary L. Rudacille, D.D.S
• Michele D Ruetsch, LCSW-C
• Dominick Joseph Ruggiero, PHARMD
• Paul Andrew Rusonis, M.D.
• Christie Russo, PHARM D
• Ruth Shor-Jannati, LCSW-C, LLC
• Brenda Rutledge, PT
• Rxtour, LLC
• Sangkyun Ryu, D.C
• S & Song Inc

• Primary Care Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.