Provider Demographics
NPI:1609969724
Name:MASSEY, JOHN PIERPONT IV (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PIERPONT
Last Name:MASSEY
Suffix:IV
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 SHEPHERD ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5343
Mailing Address - Country:US
Mailing Address - Phone:202-882-4902
Mailing Address - Fax:
Practice Address - Street 1:8901 ROCKVILLE PIKE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-2595
Practice Address - Country:US
Practice Address - Phone:301-295-0196
Practice Address - Fax:301-400-0616
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD33079207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine