DR. FREDIA STOVALL WADLEY (NPI# 1356793863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356793863 |
| Entity Type | Individual |
| Full Name | DR. FREDIA STOVALL WADLEY |
| Practice Address |
100 S Hanson St Easton MD 21601-2920 |
| Practice Telephone | 4108195606 |
| Practice Fax Number | 4108194703 |
| Mailing Telephone | 4108195606 |
| Mailing Fax Number | 4108194703 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | D0066574 | MD | Allopathic & Osteopathic Physicians |
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | STATE OF MARYLAND CDS NUMBER | M87082 | 01 |
| Street Address |
100 S HANSON ST |
| City | EASTON |
| State | MD |
| Zip Code | 21601-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396829032 | Talbot County Health Department | Public Health or Welfare | 100 S Hanson St, Easton, MD 21601-2920 | 2006-10-25 |
| 1417330440 | Binga Smith | Counselor | 100 S Hanson St, Easton, MD 21601-2920 | 2015-07-08 |
| 1568869840 | Talbot County Health Department Addictions Program | Community/Behavioral Health | 100 S Hanson St, Easton, MD 21601-2920 | 2014-12-02 |
| 1194138685 | Talbot Couinty Health Dept | Community/Behavioral Health | 100 S Hanson St, Easton, MD 21601-2920 | 2014-06-03 |
| 1124449293 | Mary Norfleet-johnson | Counselor | 100 S Hanson St, Easton, MD 21601-2920 | 2013-12-17 |
| 1306267471 | John Brooks Darling | Counselor | 100 S Hanson St, Easton, MD 21601-2920 | 2013-12-17 |
| 1407277577 | Gabriel David Rose | Counselor | 100 S Hanson St, Easton, MD 21601-2920 | 2013-12-17 |
| 1427327238 | Talbot County Health Department | Public Health or Welfare | 100 S Hanson St, Easton, MD 21601-2920 | 2011-12-22 |
| 1851660823 | Talbot County Health Department Addictions Program | Public Health or Welfare | 100 S Hanson St, Easton, MD 21601-2920 | 2011-12-21 |
| 1790086528 | Talbot County Health Department | Public Health or Welfare | 100 S Hanson St, Easton, MD 21601-2920 | 2010-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386877835 | Easton High School | Public Health or Welfare | 720 Mecklenburg Ave, Easton, MD 21601 | 2009-09-01 |
| 1871726240 | Easton Middle School | Public Health or Welfare | 201 Peachblossom Road, Easton, MD 21601 | 2009-09-01 |
| 1598998551 | Easton Elementary | Public Health or Welfare | 307 Glenwood Ave, Easton, MD 21601-4104 | 2009-08-25 |
| 1225153000 | Hortensius, Ltd. | Public Health or Welfare | 100 North 3rd St., Ste 401, Easton, PA 18042 | 2007-03-20 |
| 1396829032 | Talbot County Health Department | Public Health or Welfare | 100 S Hanson St, Easton, MD 21601-2920 | 2006-10-25 |
| 1427327238 | Talbot County Health Department | Public Health or Welfare | 100 S Hanson St, Easton, MD 21601-2920 | 2011-12-22 |
| 1851660823 | Talbot County Health Department Addictions Program | Public Health or Welfare | 100 S Hanson St, Easton, MD 21601-2920 | 2011-12-21 |
| 1790086528 | Talbot County Health Department | Public Health or Welfare | 100 S Hanson St, Easton, MD 21601-2920 | 2010-11-10 |
| 1932247806 | Talbot County Health Department | Public Health or Welfare | 100 S Hanson St, Easton, MD 21601-2920 | 2007-02-02 |
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|---|---|---|---|---|
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1720561376 | Dorchester County Behavioral Health - Mh | Public Health or Welfare | 524 Race St Apt 1, Cambridge, MD 21613-2398 | 2018-09-10 |
| 1003316407 | P&a Health Assessment and Management LLC | Public Health or Welfare | 6492 Landover Rd Ste D, Cheverly, MD 20785-1434 | 2018-02-13 |
| 1467999334 | Baltimore City Health Department | Public Health or Welfare | 1515 W North Ave Fl 2, Baltimore, MD 21217-1735 | 2017-01-30 |
| 1104378272 | Feed Your Soul Nutrition and Health | Public Health or Welfare | 3 S Carolina Ave, Pasadena, MD 21122-5437 | 2016-10-25 |
| 1730531799 | Tierra Pace | Public Health or Welfare | 3306 Stone Gate Blvd, Elkton, MD 21921-4152 | 2016-07-01 |
| 1942662846 | Bay Area Center for Independent Living, Inc. | Public Health or Welfare | 909 Progress Cir, Salisbury, MD 21804-2323 | 2016-03-22 |
| 1285094391 | House of Change, LLC | Public Health or Welfare | 11 Aynesley Ct, Owings Mills, MD 21117-6143 | 2016-03-02 |
| 1194193904 | B.v.p. Inc Dba Apps | Public Health or Welfare | 13 Wyndam Ct, Lutherville, MD 21093-3715 | 2015-09-10 |
| 1356718886 | Baltimore County Maryland | Public Health or Welfare | 124 Tollgate Rd, Owings Mills, MD 21117-3350 | 2015-09-01 |
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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.