DR. EUGENE KENNETH SUSSMAN (NPI# 1982666426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982666426 |
Entity Type | Individual |
Full Name | DR. EUGENE KENNETH SUSSMAN |
Credential | MD |
Practice Address |
21 Pebble Ridge Court Rockville MD 20854 |
Practice Telephone | 2403618844 |
Practice Fax Number | 2407159636 |
Mailing Telephone | 2403618844 |
Mailing Fax Number | 2407159636 |
Enumeration Date | 2006-04-03 |
Last Update Date | 2020-10-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | D15927 | MD | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | D00015927 | MD | Allopathic & Osteopathic Physicians |
Street Address |
21 PEBBLE RIDGE COURT |
City | ROCKVILLE |
State | MD |
Zip Code | 20854 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750810032 | Zhen Zhao | Pathology | 10405 Democracy Ln, Potomac, MD 20854 | 2017-06-08 |
1821544602 | Candace Nuzzo Michiels | Speech-Language Pathologist | 11614 Seven Locks Road, Ivymount School, Rockville, MD 20854 | 2016-08-31 |
1790156131 | Navneet Dhaliwal | Dentist | 12620 Greenbriar Rd, Potomac, MD 20854 | 2015-10-12 |
1407276082 | Benjamin G Shapero | Psychologist | 7825 Tuckerman Ln Ste 209, Potomac, MD 20854 | 2014-04-22 |
1497192272 | Nadia Yusuf | Psychiatry & Neurology | 1201 Seven Locks Rd Ste 101, Rockville, MD 20854 | 2013-06-03 |
1669719480 | Bradlee Levine | Dentist | 7811 Montrose Rd. Suite 300, Potomac, MD 20854 | 2013-01-14 |
1609123199 | Marie Makandjo | Home Health Aide | 10532 Sunny Brook Ln, Potomac, MD 20854 | 2012-08-14 |
1902183262 | Viran Seneviratne | Pharmacist | 1597 Kimble Wick Road, Rockville, MD 20854 | 2011-11-14 |
1790083608 | Joy Hope Samuels-reid | Pediatrics | 8821 Bells Mill Rd, Potomac, MD 20854 | 2011-03-02 |
1386944429 | Margaret Z Treseler | Physical Therapist | Specialized Women's Physical Therapy, LLC, 7825 Tuckerman Lane, Suite 211, Potomac, MD 20854 | 2010-10-22 |
Find all providers in zip 20854 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417554031 | Mebe Maryland | Pediatrics | 11140 Rockville Pike # 565, Rockville, MD 20852-3106 | 2020-10-06 |
1295267151 | Katherine P Lewis | Pediatrics | 11125 Rockville Pike Ste 307, Rockville, MD 20852-3142 | 2017-03-30 |
1679992010 | Neha Agarwal Suri | Pediatrics | 15204 Omega Dr Ste 100, Rockville, MD 20850 | 2014-04-14 |
1649605312 | Margret Bedle | Pediatrics | 5230 Tuckerman Lane Apt 412, Rockville, MD 20852 | 2013-09-12 |
1013268580 | Faith E. Frankel | Pediatrics | 1684 E Gude Dr, Rockville, MD 20850-5304 | 2012-09-25 |
1154517852 | Michael D Nguyen | Pediatrics | 1401 Rockville Pike Ste 400s, Hfm-222, Rockville, MD 20852-1428 | 2007-09-18 |
1699978031 | Sriparna Mitra | Pediatrics | 15215 Shady Grove Rd Ste 303, Rockville, MD 20850-0201 | 2007-06-05 |
1467674937 | Marion Wendy Koso-thomas | Pediatrics | 3815 Terrawood Ct, Rockville, MD 20853-3288 | 2007-05-03 |
1871717330 | Judith C Fallon | Pediatrics | 3 Cleveland Ct, Rockville, MD 20850-3719 | 2007-04-13 |
1043335425 | Angeline G Canagarajah | Pediatrics | 12200 Rockville Pike, Rockville, MD 20852-1608 | 2007-03-21 |
Find all providers in ROCKVILLE |
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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.