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FREDERICK PEDIATRIC ASSOCIATES P.A. NPI 1538146717


NPI Information

NPI: 1538146717
Provider Name: FREDERICK PEDIATRIC ASSOCIATES P.A.

Doing Business As: FREDERICK PEDIATRIC ASSOCIATES

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 21D0703891

Address:
87 THOMAS JOHNSON DR
SUITE 101
FREDERICK, MD
ZIP 21702
Phone: (301) 694-0606
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FREDERICK PEDIATRIC ASSOCIATES P.A. is a pediatrics in Frederick, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. FREDERICK PEDIATRIC ASSOCIATES P.A. NPI is 1538146717. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Frederick Pediatric Associates.

The provider's business location address is:

87 THOMAS JOHNSON DR
SUITE 101
FREDERICK, MD
ZIP 21702-301
Phone: (301) 694-0606
Fax: (301) 662-6928

The provider's authorized official is Radha Nathan .
The authorized official title is President and has the following contact phone number (301) 694-0606.

The CLIA number assigned to this NPI record is 21D0703891 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1082691000MEDICAIDMARSHALL ISLANDS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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