CRAIG R. DUFRESNE, M.D., P.C. (NPI# 1245674936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245674936 |
| Entity Type | Organization |
| Organization Name | CRAIG R. DUFRESNE, M.D., P.C. |
| Practice Address |
5530 Wisconsin Ave Suite 1208 Chevy Chase MD 20815-4404 |
| Mailing Address |
8501 Arlington Blvd Suite 420 Fairfax VA 22031-4617 |
| Practice Telephone | 3016549151 |
| Mailing Telephone | 7032073065 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |
| Authorized Official Name | CRAIG R. DUFRESNE (PRESIDENT) |
| Authorized Official Telephone | 7032073065 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTEN | 166727 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992149686 | Craig R. Dufresne, M.d., P.C. | Surgery | 8501 Arlington Blvd, Suite 420, Fairfax, VA 22031-4617 | 2013-04-24 |
| Street Address |
5530 WISCONSIN AVE SUITE 1208 |
| City | CHEVY CHASE |
| State | MD |
| Zip Code | 20815-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051424 | Madjid Matin | Dentist | 5530 Wisconsin Ave, Ste 1110, Chevy Chase, MD 20815-4330 | 2005-05-23 |
| 1508328378 | Bryn Marie Bonner | Physical Therapist | 5530 Wisconsin Ave, Chevy Chase, MD 20815-4404 | 2019-04-02 |
| 1578090791 | Eileen Patricia Goohs | Counselor | 5530 Wisconsin Ave, Chevy Chase, MD 20815-4404 | 2017-05-18 |
| 1427595107 | Anthony Alexander Gipe | Physical Therapist | 5530 Wisconsin Ave, Suite #1650, Chevy Chase, MD 20815-4404 | 2017-01-19 |
| 1528411253 | Scott D. Shapiro M.d., Ph.d., LLC | Internal Medicine | 5530 Wisconsin Ave, Suite 711, Chevy Chase, MD 20815-4404 | 2016-07-18 |
| 1669826517 | Cortney Elizabeth Tanner | Physician Assistant | 5530 Wisconsin Ave, Suite 1660, Chevy Chase, MD 20815-4404 | 2016-04-18 |
| 1386007565 | Elizabeth A Holcombe | Advanced Practice Midwife | 5530 Wisconsin Ave, Suite 1200, Chevy Chase, MD 20815-4404 | 2016-04-04 |
| 1083088355 | Miranda Stauffer | Physical Therapy Assistant | 5530 Wisconsin Ave, 1650, Chevy Chase, MD 20815-4404 | 2015-11-24 |
| 1063886042 | Emily Duke Wishik | Speech-Language Pathologist | 5530 Wisconsin Ave, Suite 1135, Chevy Chase, MD 20815-4404 | 2015-11-13 |
| 1285002469 | Mgmc, LLC | General Practice | 5530 Wisconsin Ave, Suite 960, Chevy Chase, MD 20815-4404 | 2015-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456454 | Sarah Trandel-korenchuk | Nurse Practitioner | 4622 Norwood Drive, Chevy Chase, MD 20815 | 2020-08-04 |
| 1730709254 | Lorelyn Pierola | Physical Therapist | 8700 Jones Mill Road, Chevy Chase, MD 20815 | 2020-04-24 |
| 1194292391 | Bradley T Nguyen | Student in an Organized Health Care Education/Training Program | 5454 Wisconsic Ave, Bethesda, MD 20815 | 2018-10-26 |
| 1053897652 | Seth Parker Worthing | Orthopaedic Surgery | 5454 Wisconsin Ave Ste 1000, Chevy Chase, MD 20815 | 2018-07-17 |
| 1104310382 | Brendan F. Burke, M.d., L.L.C. | Obstetrics & Gynecology | 5530 Wisconsin Ave Ste 850, Chevy Chase, MD 20815 | 2018-06-20 |
| 1740778240 | Miriam Brazer | Student in an Organized Health Care Education/Training Program | 4810 Bradley Blvd, Chevy Chase, MD 20815 | 2018-04-30 |
| 1285131201 | Juventino Aceves | Speech-Language Pathologist | 5530 Wisconsin, Chevy Chase, MD 20815 | 2018-04-06 |
| 1386167351 | Seth A. Greenblatt | Social Worker | 2 Wisconsin Circle, Suite 700, Your Health Concierge, Inc, Bethesda, MD 20815 | 2017-07-21 |
| 1932636990 | Katelyn Marie Engbert | Registered Nurse | 4717 Morgan Dr, Chevy Chase, MD 20815 | 2017-05-20 |
| 1043752512 | Erin Leeland Nes | Marriage & Family Therapist | 4405 East West Highway Suite 408, Bethesda, MD 20815 | 2016-11-15 |
| Find all providers in zip 20815 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750463964 | Stephane Corriveau | Surgery | 5530 Wisconsin Ave Ste 711, Chevy Chase, MD 20815-4401 | 2006-10-19 |
| 1346477940 | National Plastic Surgery, Pllc | Surgery | 5530 Wisconsin Ave, Suite 1510, Chevy Chase, MD 20815-4404 | 2009-06-22 |
| 1407082019 | Behnaz Fayazi, M.d.,llc. | Surgery | 5530 Wisconsin Ave, Suite 1248, Chevy Chase, MD 20815-4404 | 2009-06-09 |
| 1619119484 | Monte Oyd Harris | Surgery | 5530 Wisconsin Ave, Suite 612, Chevy Chase, MD 20815-4404 | 2009-03-25 |
| 1366691958 | David S. Kung | Surgery | 5454 Wisconsin Ave, Suite 635, Chevy Chase, MD 20815-6901 | 2008-09-18 |
| 1841412012 | Behnaz Fayazi | Surgery | 5530 Wisconsin Ave, Suite 1135, Chevy Chase, MD 20815-4404 | 2007-05-03 |
| 1295755916 | Eric William Khairalla | Surgery | 5530 Wisconsin Ave, Suite 1235, Chevy Chase, MD 20815-4404 | 2006-07-19 |
| 1417973009 | Kung Plastic Surgery, P.a. | Surgery | 5454 Wisconsin Ave, Suite 635, Chevy Chase, MD 20815-6901 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346713286 | Faulkner Plastic Surgery | Surgery | 6000 Executive Blvd Ste 204, North Bethesda, MD 20852-3803 | 2019-01-03 |
| 1043509748 | Salih Colakoglu | Surgery | 601 N Caroline St # 8152c, Baltimore, MD 21287-0006 | 2011-04-04 |
| 1376786418 | Emile Nathaniel Brown | Surgery | 1838 Greene Tree Rd Ste 370, Pikesville, MD 21208-7102 | 2009-04-17 |
| 1164682746 | Claire Susan Duggal | Surgery | 621 Ridgely Ave 401, Annapolis, MD 21401-1099 | 2008-06-17 |
| 1487813358 | Jerome S Plasse Md Pa | Surgery | 10085 Red Run Blvd #405, Owings Mills, MD 21117 | 2008-06-05 |
| 1073793501 | Bradley C Robertson Md L L C | Surgery | 1 Barrington Place, Suite 106, Bel Air, MD 21014-5607 | 2007-11-13 |
| 1093875288 | James E. Vogel | Surgery | 4 Park Center Ct, 100, Owings Mills, MD 21117-5611 | 2006-12-11 |
| 1477584753 | Alyson Delane Wells | Surgery | 10151 York Rd, Suites 112-114, Hunt Valley, MD 21030-3314 | 2006-07-05 |
| 1053381202 | Gary A Vela | Surgery | 8600 Snowden River Pkwy, Suite 308, Columbia, MD 21045-1982 | 2006-01-23 |
| 1104803782 | Atlantic Plastic Surgery PC | Surgery | 106 Milford St Ste 305, Salisbury, MD 21804 | 2005-12-27 |
| Find all providers with the same taxonomy | ||||
| City | CHEVY CHASE |
| Zip Code | 20815 |
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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.