Provider Demographics
NPI:1700845963
Name:OCEAN, RONALD HUGH (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:HUGH
Last Name:OCEAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2616 SHERWOOD HALL LANE
Mailing Address - Street 2:300
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306
Mailing Address - Country:US
Mailing Address - Phone:703-780-7804
Mailing Address - Fax:703-780-0183
Practice Address - Street 1:2616 SHERWOOD HALL LANE
Practice Address - Street 2:300
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306
Practice Address - Country:US
Practice Address - Phone:703-780-7804
Practice Address - Fax:703-780-0183
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2016-11-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101026506208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7371446Medicaid
B94255Medicare UPIN
OC178567Medicare ID - Type Unspecified