DR. RYAN SANFORD PRUDOFF (NPI# 1740483122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740483122 |
Entity Type | Individual |
Full Name | DR. RYAN SANFORD PRUDOFF |
Credential | DO |
Practice Address |
1210 W University Ave Georgetown TX 78628-5333 |
Practice Telephone | 2165132236 |
Mailing Telephone | 2165132236 |
Enumeration Date | 2007-06-06 |
Last Update Date | 2018-11-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | R5027 | TX | Allopathic & Osteopathic Physicians |
N | 207P00000X | Emergency Medicine | 34.008507 | OH | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
525 E Market St, Akron, OH 443041619 | 3303753361 |
Street Address |
1210 W UNIVERSITY AVE |
City | GEORGETOWN |
State | TX |
Zip Code | 78628-5333 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164079760 | Maegan Marissa Milliet | Student in an Organized Health Care Education/Training Program | 302 Rideg Run Dr, Georgetown, TX 78628 | 2019-08-20 |
1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
1679085401 | Georgetown Emergency Physicians Pllc | Clinic/Center | 1210 W University Blvd, Georgetown, TX 78628 | 2017-11-02 |
1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
1093114100 | Della Davis | Hearing Instrument Specialist | 1013 W. University Ave, Suite 122, Georgetown, TX 78628 | 2014-08-14 |
1083988125 | Deann Reinshuttle | Audiologist-Hearing Aid Fitter | 3316 Williams Dr Ste 115, Georgetown, TX 78628 | 2012-03-07 |
1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
1497071534 | Jeri Lynne Manhal | Counselor | 1618 Williams Dr., Suite 4, Georgetown, TX 78628 | 2010-04-14 |
Find all providers in zip 78628 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336589308 | Jon C Thompson | Emergency Medicine | 232 Harmony Ridge Dr, Georgetown, KY 40324-9688 | 2013-07-05 |
1497073209 | Jeremy Alan Padalecki | Emergency Medicine | 1100 Teravista Xing, Georgetown, TX 78626-7704 | 2010-05-05 |
1528229432 | Rohit S Patel | Emergency Medicine | 4506 Williams Dr Ste 120, Georgetown, TX 78633-1306 | 2008-06-23 |
1144313982 | Ann Louise Nolen | Emergency Medicine | 7600 Highway 29 W, Suite 5, Georgetown, TX 78628-6937 | 2006-10-02 |
1932116027 | Stat Med P.a. | Emergency Medicine | 902b N Austin Ave, Georgetown, TX 78626-4333 | 2006-08-01 |
1194768044 | Scott Harrison | Emergency Medicine | 122 Cherry Hill Dr, Georgetown, KY 40324-9654 | 2006-06-14 |
1093765935 | Michael Miller | Emergency Medicine | 360 Westbury Ln, Georgetown, TX 78628-4374 | 2006-05-11 |
1588191134 | Michael Patrick Stribos | Emergency Medicine | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-05-15 |
1831519826 | Candice Weiner-johnson | Emergency Medicine | 908 Rockmoor Dr, Georgetown, TX 78628-8966 | 2014-04-17 |
1356680334 | Doctors Care Sc, Pa | Emergency Medicine | 1068 N Fraser St, Georgetown, SC 29440-2849 | 2013-02-11 |
Find all providers in GEORGETOWN |
City | GEORGETOWN |
Zip Code | 78628 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.