Individual provider Active NPI

Pranusha Pinna, DO

  • Neurology Physician
  • Washington, DC
National Provider Identifier
1861983660
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DO210001666 Issued in DC
Practice address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone
(202) 295-0540
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X DO220944 OR
Neurology Physician 2084N0400X 02007483A IN
Neurology Physician 2084N0400X 97283 GA
Neurology Physician 2084N0400X DO210001666 DC Primary
Neurology Physician 2084N0400X OP61552732 WA
Neurology Physician 2084N0400X 2023-03110 NC
Neurology Physician 2084N0400X 0101279345 VA
Neurology Physician 2084N0400X 5442 TN
Neurology Physician 2084N0400X 036167016 IL
Neurology Physician 2084N0400X 2023042969 MO
Neurology Physician 2084N0400X OS20694 FL

Addresses

Primary practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 2

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Other practice location 3

58 Carroll Street
Lebanon, VA 24266-4510
Phone (276) 883-8000

Other practice location 4

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300

Other practice location 5

127 Health Care Dr Ste 3
Pennington Gap, VA 24277-2853
Phone (423) 230-5000

Other practice location 6

100 15th St NW
Norton, VA 24273-1616
Phone (423) 630-7001

Other practice location 7

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (423) 230-8200

Other practice location 8

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

Other practice location 9

2030 Temple Hill Rd
Erwin, TN 37650-8721
Phone (423) 743-3141

Other practice location 10

12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone (757) 534-5100

Other practice location 11

1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone (765) 502-4400

Other practice location 12

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2200

Other practice location 13

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

Other practice location 14

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 15

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 16

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 17

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-9437

Other practice location 18

851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000

Other practice location 19

1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5000

Other practice location 20

1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1100

Other practice location 21

25 N Winfield Rd Ste 424
Winfield, IL 60190-1379
Phone (630) 933-4056

Other practice location 22

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

Other practice location 23

1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300

Other identifiers 1

IdentifierTypeStateIssuer
125071990OtherILILLINOIS STATE TEMPORARY MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, IL, GA, NC, MO, TN, VA, MS, IN, WA, OR11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20231019003686 DC Practitioner - Neurology 6406105154 Reassigns benefits to 4 organizations
I20231031001624 IL Practitioner - Neurology 6406105154 Reassigns benefits to 1 organization
I20231201002052 GA Practitioner - Neurology 6406105154 Reassigns benefits to 1 organization
I20240123001266 NC Practitioner - Neurology 6406105154 Reassigns benefits to 3 organizations
I20240423004069 MO Practitioner - Neurology 6406105154 Reassigns benefits to 3 organizations
I20240531002127 TN Practitioner - Neurology 6406105154 Reassigns benefits to 1 organization
I20240603000968 VA Practitioner - Neurology 6406105154 Reassigns benefits to 3 organizations
I20241122002214 MS Practitioner - Neurology 6406105154 Reassigns benefits to 1 organization
I20250503000165 IN Practitioner - Neurology 6406105154 Reassigns benefits to 1 organization
I20250923003133 WA Practitioner - Neurology 6406105154 Reassigns benefits to 1 organization
I20251029004360 OR Practitioner - Neurology 6406105154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Midwestern University, Chicago College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, shared by 14 NPIs, 385 clinicians
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians
Wellmont Medical Associates IncGroup PAC ID 8123291739, shared by 2 NPIs, 432 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
WakemedGroup PAC ID 7315937612, 72 clinicians
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

Vienna, VA 22181
Phone (309) 472-5245

1102 W 32 St
Joplin, MO 64804-3503
Phone (417) 347-1111

12200 Warwick Blvd
Suite 110
Newport News, VA 23601-2344
Phone (757) 534-5100

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-8200

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-5416

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 933-4056

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

3603 Bienville Blvd
Ocean Springs, MS 39564-5727
Phone (228) 872-8768

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5442TNMDPhysical Medicine & Rehabilitation Physician
DO210001666DCMDNeurology Physician
OS20694FLMDNeurology Physician
2023-03110NCMDNeurology Physician
DO220944ORMDNeurology Physician
OP61552732WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Apr 16, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 9, 2025 Accepting new patients
Riverside Physician Services, Inc. Neurology CurrentSince Jun 5, 2024 Accepting new patients
Wellmont Medical Associates Inc CurrentSince May 14, 2024 Accepting new patients
Silverton Health Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2025 Accepting new patients
MGMC, LLC Current Accepting new patients
Freeman-Oak Hill Health System Neurology CurrentSince Apr 18, 2024 Accepting new patients
Wellmont Medical Associates Inc CurrentSince May 14, 2024 Accepting new patients
Silverton Health CurrentSince Sep 9, 2025 Accepting new patients
Wakemed CurrentSince Apr 29, 2024 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince May 14, 2024 Accepting new patients
Wakemed CurrentSince Apr 29, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 9, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2023 Accepting new patients
Novant Health Medical Group, LLC Neurology CurrentSince Jan 26, 2024 Accepting new patients
Wellmont Health System Current Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Apr 18, 2024 Accepting new patients
SSM Regional Health Services Current Accepting new patients
SSM Regional Health Services CurrentSince Sep 6, 2024 Accepting new patients
Silverton Health CurrentSince Sep 9, 2025 Accepting new patients
Centra Health Professional Services, LLC CurrentSince Dec 1, 2024 Accepting new patients
Medstar Total Elder Care LLC CurrentSince May 17, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 9, 2025 Accepting new patients
SSM Regional Health Services CurrentSince Sep 6, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
MGMC LLC CurrentSince Oct 1, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2025 Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 18, 2024 Accepting new patients
Riverside Physician Services Inc CurrentSince Jun 5, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 26, 2024 Accepting new patients
Centra Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Singing River Health System CurrentSince Nov 1, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 9, 2025 Accepting new patients
Adventist Health System Georgia Inc CurrentSince Dec 1, 2023 Accepting new patients
Franciscan Physician Network CurrentSince Apr 16, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations (25 of 57)

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

110 Irving St NW
Rm 3114
Washington, DC 20010
Phone (202) 877-0570

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

1035 Red Bud Rd NE
Ste 101
Calhoun, GA 30701
Phone (706) 625-4285

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

7655 Solutions Ctr
Chicago, IL 60677

351 Delnor Dr
Ste 401
Geneva, IL 60134
Phone (630) 232-0610

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

25 N Winfield Rd
Ste 424
Winfield, IL 60190
Phone (630) 933-4240

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

3603 Bienville Blvd
Ste 203
Ocean Springs, MS 39564
Phone (228) 872-8768

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Interoperability endpoints

  • Direct secure messaging: ppinna431582@balladhealth.medalliesdirect.net
  • Direct secure messaging: ppinna1325630@direct.novanthealth.org

Organizations & group practices 40

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.

View all 40

Hospital & facility affiliations 7

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1861983660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-295-0540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
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        },
        {
            "address_1": "400 N State Of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-431-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Carroll Street",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242664510",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "country_name": "United States",
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        },
        {
            "address_1": "312 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242286786",
            "country_code": "US",
            "telephone_number": "276-926-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Health Care Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Pennington Gap",
            "state": "VA",
            "postal_code": "242772853",
            "country_code": "US",
            "telephone_number": "423-230-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 15th St NW",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242731616",
            "country_code": "US",
            "telephone_number": "423-630-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Holton Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242193350",
            "country_code": "US",
            "telephone_number": "423-230-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Med Tech Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042277",
            "country_code": "US",
            "telephone_number": "423-302-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Temple Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "TN",
            "postal_code": "376508721",
            "country_code": "US",
            "telephone_number": "423-743-3141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Warwick Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012344",
            "country_code": "US",
            "telephone_number": "757-534-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 S Creasy Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054972",
            "country_code": "US",
            "telephone_number": "765-502-4400",
            "fax_number": "765-502-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 N Gantenbein Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-413-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042515",
            "country_code": "US",
            "telephone_number": "704-384-9437",
            "fax_number": "704-384-9440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Locust St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572407",
            "country_code": "US",
            "telephone_number": "423-921-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Main St",
            "address_purpose": "LOCATION",
            "city": "Sneedville",
            "state": "TN",
            "postal_code": "378693657",
            "country_code": "US",
            "telephone_number": "423-733-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Shady St",
            "address_purpose": "LOCATION",
            "city": "Mountain City",
            "state": "TN",
            "postal_code": "376832021",
            "country_code": "US",
            "telephone_number": "423-727-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 N Winfield Rd Ste 424",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901379",
            "country_code": "US",
            "telephone_number": "630-933-4056",
            "fax_number": "630-933-4057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Tusculum Blvd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454279",
            "country_code": "US",
            "telephone_number": "423-787-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Elk Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432874",
            "country_code": "US",
            "telephone_number": "423-542-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINNA",
        "first_name": "PRANUSHA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "DO220944",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "02007483A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "97283",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "DO210001666",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "OP61552732",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2023-03110",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101279345",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "5442",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036167016",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2023042969",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS20694",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE TEMPORARY MEDICAL LICENSE",
            "identifier": "125071990",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.