Healthcare Provider Details

I. General information

NPI: 1790890895
Provider Name (Legal Business Name): JONAS RONAN RUDZKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DISTRICT ORTHOPAEDICS, PC 5454 WISCONSIN AVENUE, 1000
CHEVY CHASE MD
20815-6949
US

IV. Provider business mailing address

DISTRICT ORTHOPAEDICS, PC 5454 WISCONSIN AVENUE, 1000
CHEVY CHASE MD
20815-6949
US

V. Phone/Fax

Practice location:
  • Phone: 301-882-2000
  • Fax: 240-858-4291
Mailing address:
  • Phone: 301-882-2000
  • Fax: 240-858-4291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number035982
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number035982
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: