Provider Demographics
NPI:1710959192
Name:GURNEY, RONALD E (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:E
Last Name:GURNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6888 ELM STREET
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3829
Mailing Address - Country:US
Mailing Address - Phone:703-448-9210
Mailing Address - Fax:703-448-6941
Practice Address - Street 1:6888 ELM STREET
Practice Address - Street 2:SUITE 2A
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3829
Practice Address - Country:US
Practice Address - Phone:703-448-9210
Practice Address - Fax:703-448-6941
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-01
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101031978207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006089429Medicaid
406073397OtherRAILROAD MEDICARE
VA6089429Medicaid
VA006089429Medicaid
406073397OtherRAILROAD MEDICARE