Healthcare Provider Details

I. General information

NPI: 1962455618
Provider Name (Legal Business Name): ROSS E CUSHING AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18310 MONTGOMERY VILLAGE AVE STE 520
GAITHERSBURG MD
20879-3554
US

IV. Provider business mailing address

PO BOX 1680
CLARKSBURG MD
20871-1680
US

V. Phone/Fax

Practice location:
  • Phone: 301-977-6317
  • Fax: 301-977-8503
Mailing address:
  • Phone: 301-977-6317
  • Fax: 301-977-8503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number01080
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: