DR. RYAN SANFORD PRUDOFF


Address: 1210 W University Ave, Georgetown, TX 78628-5333
Phone: 2165132236

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
525 E Market St, Akron, OH 443041619 3303753361

Office Location

Street Address 1210 W UNIVERSITY AVE
City GEORGETOWN
State TX
Zip Code 78628-5333

Providers in the same zip code

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 Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City GEORGETOWN
Zip Code 78628

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Dataset Information

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.

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