DR. RYAN SANFORD PRUDOFF DO
NPI 1740483122
Emergency Medicine in Georgetown, TX
About Dr. Ryan Sanford Prudoff Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RYAN SANFORD PRUDOFF DO (NPI 1740483122) is an individual emergency medicine provider in Georgetown, Texas, licensed in Texas (R5027) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Akron.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ryan Sanford Prudoff Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78628 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ryan Prudoff's NPI number?
The NPI number for Ryan Prudoff is 1740483122. It was assigned to this individual provider in the NPPES registry on June 6, 2007.
Where is Ryan Prudoff located?
Ryan Prudoff practices at 1210 W University Ave, Georgetown, TX 78628. The listed phone number is (216) 513-2236.
What is Ryan Prudoff's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ryan Prudoff enrolled in Medicare?
Yes. Ryan Prudoff is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ryan Prudoff was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.