PAUL FADAKAR (NPI# 1073803482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073803482 |
| Entity Type | Individual |
| Full Name | PAUL FADAKAR |
| Practice Address |
4401 Penn Ave Pittsburgh PA 15224-1334 |
| Mailing Address |
341 Spahr St Apt 1 Pittsburgh PA 15232-2009 |
| Practice Telephone | 4126925182 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
MD460918 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1116 Boulevard, West Hartford, CT 061191714 | 8603383427 |
| Street Address |
4401 PENN AVE |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164426896 | Upmc Children's Hospital of Pittsburgh | Clinic/Center | 4401 Penn Ave, Pittsburgh, PA 15224 | 2005-06-10 |
| 1588262133 | Christina Marie Dunbar | Nurse Practitioner | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2020-10-15 |
| 1699381459 | Rebecca Leigh Misch | Nurse Practitioner | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2020-09-17 |
| 1518576800 | Alisha Oscharoff Miller | Psychologist | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2020-07-23 |
| 1932717279 | Christa Joy Mcintyre | Nurse Practitioner | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2020-07-22 |
| 1043836950 | Dana Gess | Pharmacist | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2020-06-17 |
| 1013531052 | Kelly Nicole Schooping Tripi | Genetic Counselor, MS | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2020-06-05 |
| 1548881006 | Sarah L Wilson | Nurse Practitioner | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2020-05-06 |
| 1356962187 | Julia Mancini | Nurse Practitioner | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2020-05-04 |
| 1831710920 | Melanie Lutz | Audiologist | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618289 | Jessica Reyes Angel | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2018-11-21 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1245745785 | Ericka Blake Lias | Pediatrics | Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 | 2017-12-06 |
| 1316463904 | Olivia Graham | Speech-Language Pathologist | 4414 Woolslayer Way, Pittsburgh, PA 15224 | 2017-08-16 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in zip 15224 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609986421 | Yosuke Miyashita | Pediatrics | 4401 Penn Ave / Faculty Pavilion, 44, Children's Hospital of Pittsburgh of Upmc, Pittsburgh, PA 15224 | 2006-08-30 |
| 1932106077 | Carlton M Bates | Pediatrics | Upmc Children's Hospital of Pittsburgh, 4401 Penn Avenue, Rangos 5th Floor, Room 5130, Pittsburgh, PA 15201 | 2005-07-05 |
| 1467870717 | Christine Crana | Pediatrics | 4401 Penn Ave, Aob Suite 5400, Pittsburgh, PA 15224-1334 | 2014-04-03 |
| 1700228384 | Gaurav Nanda | Pediatrics | 4401 Penn Ave, Rangos Research Bldg, 5th Floor Admin 7, Pittsburgh, PA 15224-1334 | 2013-07-23 |
| 1437412954 | Melissa Jeanne Anslow | Pediatrics | 4401 Penn Ave, Pittsburgh, PA 15224 | 2012-06-19 |
| 1174847073 | Jacqueline Ho | Pediatrics | 4401 Penn Ave, Pediatric Nephrology, Children's Hospital of Pittsburgh, Pittsburgh, PA 15224-1334 | 2010-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386018844 | Brenda Cooperstone | Pediatrics | 394 Strathmore Dr, Bryn Mawr, PA 19010-1261 | 2015-11-20 |
| 1891037644 | Martin Sander Polinsky | Pediatrics | 953 Caledonia St, Philadelphia, PA 19128-1129 | 2013-03-20 |
| 1306135769 | Ruth Panzer Gottlieb | Pediatrics | 3300 Darby Rd Apt 5213, Haverford, PA 19041-7706 | 2011-04-06 |
| 1588826317 | Seth Schulman | Pediatrics | 15 Beth Dr, Ambler, PA 19002-1930 | 2008-07-02 |
| 1265480248 | Jonathan David Heiliczer | Pediatrics | St. Christopher's Hospital for Children, Erie Avenue At Front Street, Philadelphia, PA 19134-1095 | 2006-05-04 |
| 1730715830 | Katie Sullivan | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-03-20 |
| 1568000461 | Stc Pediatrics LLC | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-11 |
| 1760026991 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-31 |
| 1699319038 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
| 1386288744 | Stc Pediatrics LLC | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.