PAUL FADAKAR


Address: 4401 Penn Ave, Pittsburgh, PA 15224-1334
Phone: 4126925182

PAUL FADAKAR (NPI# 1073803482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1116 Boulevard, West Hartford, CT 061191714 8603383427

Office Location

Street Address 4401 PENN AVE
City PITTSBURGH
State PA
Zip Code 15224-1334

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080P0210X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City PITTSBURGH
Zip Code 15224

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Dataset Information

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.

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