FIZZEH S NELSON-DESIDERIO (NPI# 1386990661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386990661 |
| Entity Type | Individual |
| Full Name | FIZZEH S NELSON-DESIDERIO |
| Credential | M.D., MPH |
| Practice Address |
#1227 25th St. Nw 4th Floor Washington DC 20037 |
| Mailing Address |
205 Holmard St. Gaithersburg MD 20878-5621 |
| Practice Telephone | 2027410462 |
| Practice Fax Number | 2024428501 |
| Mailing Telephone | 3019486517 |
| Mailing Fax Number | 2024428501 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 30108 | DC | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | DO4870 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 375421900/3754219 | 05 |
| Street Address |
#1227 25TH ST. NW 4TH FLOOR |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710959 | Wanda H. Rappaport | Psychologist | 2440 M Street, Nw, Suite 512, Washington, DC 20037 | 2020-11-06 |
| 1477173326 | Lisa Kate Eitches | Student in an Organized Health Care Education/Training Program | The Gw Medical Faculty Associ, 2150 Pennsylvania Ave, Nw, Washington, DC 20037 | 2020-04-21 |
| 1992280044 | Aakshit Goyal | Student in an Organized Health Care Education/Training Program | The George Washington University Hospital, 900, 23 Rd Street, Washington, DC 20037 | 2018-09-25 |
| 1649752015 | Jamie Peterson | Counselor | 3 Washington Circle Nw, Suite 406, Washington, DC 20037 | 2018-09-03 |
| 1003392689 | Eugenie Atallah | Student in an Organized Health Care Education/Training Program | The Gw Medical Faculty Associates 2150 Pennsylvania Ave, 2150 Pennsylvania Avenue, Nw, Washington, DC 20037 | 2018-07-17 |
| 1033637541 | Brianna Bachelle Eliades | Physical Medicine & Rehabilitation | 2175 K Street, Nw, C120, Washington, DC 20037 | 2017-09-05 |
| 1376067967 | Candace Mary Willett | Pediatrics | 2440 M St Nw Ste 205, Washington, DC 20037 | 2017-07-26 |
| 1982125894 | Fransisca Indraswari | Student in an Organized Health Care Education/Training Program | The George Washington Medical Faculty Associates, 2150 Pennsylvania Avenue Nw, Washington, DC 20037 | 2017-06-30 |
| 1750816021 | Mohammed Alsaggaf | Student in an Organized Health Care Education/Training Program | 900 23rd St Nw, Washington, Dc 20037, Usa, Washington, DC 20037 | 2017-04-25 |
| 1053868802 | Nicolle Denise Cooley | Speech-Language Pathologist | 2600 Virginia Avenue Nw, Suite #900, Washington, DC 20037 | 2016-09-08 |
| Find all providers in zip 20037 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1306348073 | Mgmc, LLC | General Practice | 1120 20th St Nw Frnt 1, Washington, DC 20036-3411 | 2018-03-08 |
| 1750883427 | Mgmc, LLC | General Practice | 106 Irving St Nw Ste 5000, Washington, DC 20010-2981 | 2018-03-08 |
| 1447787924 | Elizabeth Courtney Elkins | General Practice | 4832 Macarthur Blvd Nw, Washington, DC 20007-1557 | 2017-05-16 |
| 1730576588 | Onyebuchi Ugochukwu Ogbuagu | General Practice | 4849 Connecticut Ave Nw Apt 409, Washington, DC 20008-5805 | 2015-04-20 |
| 1366784860 | Andrew Charles Garling | General Practice | 565 Pennsylvania Ave Nw, Washington, DC 20001-4929 | 2013-03-22 |
| 1740542281 | Ridgely Cursoe Bennett Jr. | General Practice | 1770 Sycamore Street, N.w., Washington, DC 20012-1031 | 2012-06-11 |
| 1275843385 | Daniel John Carucci | General Practice | 3827 Massachusetts Ave Nw, Washington, DC 20016-5102 | 2010-10-08 |
| 1013225234 | H L Yoon, Mdpc | General Practice | 2345 Martin Luther King Jr., Ave, S.e., Washington, DC 20020 | 2010-09-22 |
| 1689902751 | Nhu Tuyet Thi Nguyen | General Practice | 4007 Connecticut Ave Nw, Suite 308, Washington, DC 20008-1103 | 2009-11-30 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20037 |
Please comment or provide details below to improve the information on FIZZEH S NELSON-DESIDERIO.
| 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.