Provider Demographics
NPI:1760480222
Name:RANKIN, MARC ESPY (MD)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:ESPY
Last Name:RANKIN
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 1:3301 NEW MEXICO AVE NW STE 248
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3610
Mailing Address - Country:US
Mailing Address - Phone:202-244-0706
Mailing Address - Fax:202-686-6278
Practice Address - Street 1:3301 NEW MEXICO AVE NW STE 248
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3610
Practice Address - Country:US
Practice Address - Phone:202-244-0706
Practice Address - Fax:202-686-6278
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0064915207XX0005X
DCMD33380207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC034937200Medicaid
DC034937200Medicaid
014266R77Medicare ID - Type Unspecified