DR. EMELYNN JOANNE FAJARDO (NPI# 1457615460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457615460 |
| Entity Type | Individual |
| Full Name | DR. EMELYNN JOANNE FAJARDO |
| Credential | D.O. |
| Practice Address |
1600 Rockland Rd Wilmington DE 19803-3607 |
| Mailing Address |
Po Box 191 Rockland DE 19732-0191 |
| Practice Telephone | 3026514200 |
| Practice Fax Number | 3026515951 |
| Mailing Telephone | 0265140003 |
| Mailing Fax Number | 3026515951 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
OS019939 | PA | Allopathic & Osteopathic Physicians |
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
C2-0013079 | DE | Allopathic & Osteopathic Physicians |
| N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
25MB09117500 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1600 ROCKLAND RD |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19803-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844345 | Lee Pachter | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2005-07-13 |
| 1871194852 | Joanna Smith | Psychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-11-05 |
| 1508465766 | Claudia Van Lenten | Social Worker | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-10-20 |
| 1043819170 | Erica Reighard | Nurse Practitioner | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-10-20 |
| 1962018325 | Madison Rausch | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-09-21 |
| 1558979088 | Aniela Grzezulkowska | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-07-21 |
| 1427674951 | Molly Anne Haislip | Registered Nurse | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-06-20 |
| 1295358471 | Molly Beitman | Dietitian, Registered | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-05-22 |
| 1861015158 | Emily Clouser | Speech-Language Pathologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-05-21 |
| 1396367454 | Andrea Schelhaas | Genetic Counselor, MS | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437779683 | Minal Aundhia | Student in an Organized Health Care Education/Training Program | Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 | 2020-04-17 |
| 1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
| 1477117554 | Antanoid John Langeveldt | Student in an Organized Health Care Education/Training Program | 1600 Rockland Al Dupont Hospital, Wilmington, DE 19803 | 2019-04-24 |
| 1043791817 | Ronald Mcdonald House of Delaware Inc. | Meals | 1901 Rockland Rd, Wilmington, DE 19803 | 2018-08-28 |
| 1316312754 | Wellspring Emotional Health, LLC | Social Worker | 910 Foulk Rd, Suite 200, Wilmington, DE 19803 | 2015-12-10 |
| 1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
| 1518347095 | Michelle Marie Clark | Allergy & Immunology | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 | 2015-06-01 |
| 1972922870 | Jennifer Lynne Carite | Emergency Medicine | 1600 Rockland Rd Ste 2b80, Wilmington, DE 19803 | 2014-04-08 |
| 1285938712 | Howard Wilk | Family Medicine | 18 Stone Tower Lane, Wilmington, DE 19803 | 2010-12-23 |
| 1568691905 | Kyle Phillips | Registered Nurse | 410 Foulk Road, Suite 100, Wilmington, DE 19803 | 2009-07-07 |
| Find all providers in zip 19803 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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. |
| City | WILMINGTON |
| Zip Code | 19803 |
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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.