TERRI DIFAZIO (NPI# 1184635997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184635997 |
| Entity Type | Individual |
| Full Name | TERRI DIFAZIO |
| Credential | MD |
| Practice Address |
5755 Cedar Ln Hcgh Nicu Columbia MD 21044-2912 |
| Mailing Address |
Po Box 64208 Baltimore MD 21264-4208 |
| Practice Telephone | 4107407557 |
| Mailing Telephone | 4438280442 |
| Mailing Fax Number | 7032891414 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
D0050453 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
5755 CEDAR LN HCGH NICU |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539421 | Melinda Ellen Kantsiper | Internal Medicine | 5755 Cedar Ln, Howard County General Hospital -cims, Columbia, MD 21044-2912 | 2005-06-22 |
| 1194322636 | Stephanie Jenkins | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2020-10-07 |
| 1578177226 | Kristin Ann Lederman | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2999 | 2020-09-01 |
| 1821602582 | Kristen Lee Self | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2999 | 2020-09-01 |
| 1760092175 | Ashley Dozier | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2020-08-01 |
| 1619515442 | Nikitta Dhillon | Physician Assistant | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-12-11 |
| 1760025985 | Yande Cheng | Physician Assistant | 5755 Cedar Ln, Columbia, MD 21044-2999 | 2019-10-21 |
| 1073155586 | Dipal Patel | Physician Assistant | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-10-16 |
| 1861034159 | Charles Wangui | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-10-08 |
| 1972153849 | Rebeccah W Depp | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750328936 | Uma M Amarnath | Pediatrics | Palmetto Health Richland Hospital, Lexington Medical Center, Columbia, SC 29203-6849 | 2006-05-31 |
| 1245207711 | Victor Norbert Iskersky | Pediatrics | 5 Medical Park, Palmetto Health Richland, Columbia, SC 29203 | 2006-03-03 |
| 1760962385 | Kisha Marie Linwood | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2018-08-14 |
| 1619288594 | Anjali Patel Anders | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2010-06-25 |
| 1649408261 | Amber S Ratliff | Pediatrics | 404 N Keene St, Columbia, MO 65201 | 2009-06-23 |
| 1053546564 | Zankhana Master Desai | Pediatrics | 404 N Keene St, Columbia, MO 65201 | 2009-05-28 |
| 1497918817 | Manika Sharma | Pediatrics | 1333 Taylor St, Suite 6a, Columbia, SC 29201-2923 | 2008-07-07 |
| 1518097989 | Nadeem A Hashmi | Pediatrics | 11085 Little Patuxent Pkwy, Suite 104, Columbia, MD 21044-2983 | 2007-03-06 |
| 1083781363 | Laura Anne Valleni | Pediatrics | 5 Richland Medical Park Dr, Columbia, SC 29203 | 2006-11-29 |
| 1831269695 | Mid-missouri Neonatology LLC | Pediatrics | 1600 E Broadway, Columbia, MO 65201-5844 | 2006-11-09 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on TERRI DIFAZIO.
| 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.