DR. STEPHEN RANDOLPH FRED (NPI# 1134424419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134424419 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN RANDOLPH FRED |
| Credential | DDS |
| Practice Address |
5225 Pooks Hill Rd Suite #2 Bethesda MD 20814-2052 |
| Practice Telephone | 3015307383 |
| Practice Fax Number | 3015308578 |
| Mailing Telephone | 3015307383 |
| Mailing Fax Number | 3015308578 |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
MD-4989 | MD | Dental Providers |
| Street Address |
5225 POOKS HILL RD SUITE #2 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487600433 | John Anthony Galotto | Internal Medicine | 5225 Pooks Hill Rd, Suite 1-a, Bethesda, MD 20814-2052 | 2006-05-25 |
| 1164036760 | Roni Shlomit Enten | Nutritionist | 5225 Pooks Hill Rd, Bethesda, MD 20814-2052 | 2020-09-02 |
| 1124449962 | Alicia Beach Halverstadt | Social Worker | 5225 Pooks Hill Rd, 416 South, Bethesda, MD 20814-2052 | 2013-12-20 |
| 1184961997 | Hilari G. Dunn | Dentist | 5225 Pooks Hill Rd, Suite S-3, Bethesda, MD 20814-2077 | 2013-01-14 |
| 1285926915 | Karoll Jose Cortez | Internal Medicine | 5225 Pooks Hill Rd, Apt# 210 N, Bethesda, MD 20814-2052 | 2011-05-13 |
| 1821321670 | James H Park | Internal Medicine | 5225 Pooks Hill Rd, Bethesda, MD 20814-2052 | 2009-09-11 |
| 1023209665 | Linda Ellen Blackman | Marriage & Family Therapist | 5225 Pooks Hill Rd, Suite 4, Bethesda, MD 20814-2052 | 2007-08-08 |
| 1255540571 | Drs. Feldman and Galotto LLC | Internal Medicine | 5225 Pooks Hill Rd, Suite 1a, Bethesda, MD 20814-2052 | 2007-05-22 |
| 1780896068 | Paul C. Turkeltaub, M.d. | Internal Medicine | 5225 Pooks Hill Rd, Suite 1-a, Bethesda, MD 20814-2052 | 2007-05-07 |
| 1639292642 | Maureen Donnelly | Psychiatry & Neurology | 5225 Pooks Hill Rd, Suite 4a, Bethesda, MD 20814-2052 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1518516194 | Drake Winslow Williams | Dentist | 10 Center Dr Rm 1b01, Bethesda, MD 20892-0001 | 2019-09-06 |
| 1003388612 | Marie Kao-hsieh | Dentist | 10 Center Dr Room 1n117a, Bethesda, MD 20892-0001 | 2018-12-20 |
| 1689160921 | Peter Joung Hoon Lee | Dentist | 8901 Wisconsin Ave Fl 2, Bethesda, MD 20889-0004 | 2018-07-10 |
| 1942619457 | Pamela Gardner | Dentist | Nih Nidcr Dental Clinic, 10 Center Drive, 10/1n117, Bethesda, MD 20892-0001 | 2014-08-08 |
| 1164843785 | Jonathan A Morris Dds, PC | Dentist | 8218 Wisconsin Ave Ste 404, Bethesda, MD 20814-3107 | 2013-12-27 |
| 1427480151 | William Sidney Blackmore | Dentist | 9222 E Parkhill Dr, Bethesda, MD 20814-3949 | 2013-08-05 |
| 1538509393 | Christopher Joseph Puglisi | Dentist | 2 Ardmore Ct, Bethesda, MD 20816-2015 | 2013-06-26 |
| 1578844965 | Michael Bradford Harper | Dentist | Walter Reed Natl Military Ctr, Bldg # 17 Room # 3140, Bethesda, MD 20889-5600 | 2011-08-30 |
| 1669760195 | Divine Smiles Dentistry | Dentist | 8001 Wisconsin Ave, Suite 103, Bethesda, MD 20814-3602 | 2011-07-19 |
| Find all providers in BETHESDA | ||||
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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.