Rodell E Cruise in Annapolis - Family Medicine
Rodell E Cruise - NPI 1881687762
Rodell E Cruise is a Family Medicine in Annapolis, Maryland. Rodell E Cruise practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Rodell E Cruise is 1881687762. The last update date is 2016-03-01.
Rodell E Cruise's current location address is 2009 Tidewater Colony Dr, Annapolis, Maryland. You can contact this provider via phone number 4102240010 and fax number 4102240012. The mailing address for Rodell E Cruise is 2009 Tidewater Colony Dr, Annapolis, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodell E Cruise |
|---|---|
| Address | 2009 Tidewater Colony Dr, Annapolis, Maryland |
| Phone Number | 4102240010 |
| Fax Number | 4102240012 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881687762 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2016-03-01 |
Provider Mailing Address Detail
| Address | 2009 Tidewater Colony Dr |
|---|---|
| City | Annapolis |
| State | Maryland (MD) |
| Post Code | 214012107 |
| Phone Number | 4102240010 |
| Fax Number | 4102240012 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | D0054076 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5622093 | VA | -- | |
| 80180343 | GA | RAILROAD MEDICARE |
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What is the unique 10-digit identifier code issued to Rodell E Cruise by the Centers for Medicare & Medicaid Services?
The Rodell E Cruise has been assigned the NPI (National Provider Identifier) 1881687762 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Rodell E Cruise is geographically located?
The Rodell E Cruise is physically situated at the following location: 2009 Tidewater Colony Dr, Annapolis, MD, 214012107.
What is the area of specialization for Rodell E Cruise, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Rodell E Cruise is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881687762 to Rodell E Cruise?
The Centers for Medicare & Medicaid Services originally issued the 1881687762 to Rodell E Cruise on 2005-08-26.
As of what date were the Rodell E Cruise's details last updated?
The information pertaining to the Rodell E Cruise, including its address, specialty, and other details, was most recently updated on 2016-03-01.