DR. SEFANIT FASSIL (NPI# 1497836100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497836100 |
| Entity Type | Individual |
| Full Name | DR. SEFANIT FASSIL |
| Credential | M.D. |
| Practice Address |
200 Forbes St Ste 200 Annapolis MD 21401-1538 |
| Mailing Address |
3645 Elder Oaks Blvd #7108 Bowie MD 20716-3381 |
| Practice Telephone | 4102636363 |
| Practice Fax Number | 4102634086 |
| Mailing Telephone | 3014642156 |
| Mailing Fax Number | 4102634086 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D0043194 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICAL LICENSE | D0043194 | 01 |
| MD | CONTROLLED SUBSTANCE | M34850 | 01 |
| MD | FEDERAL DEA NUMBER | BF3203762 | 01 |
| Street Address |
200 FORBES ST STE 200 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902891344 | Gina Ann Friel | Nurse Practitioner | 200 Forbes St, Annapolis, MD 21401-1538 | 2005-09-13 |
| 1104279934 | Jennifer M Redmond | Nurse Practitioner | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2016-07-17 |
| 1477914638 | Shaun Tompkins Fritz | Nurse Practitioner | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2016-03-16 |
| 1679961866 | Bae, D.d.s., L.l.c | Dentist | 200 Forbes St, Suite 301, Annapolis, MD 21401-1538 | 2014-12-23 |
| 1942644463 | Veronica Cellini | Pediatrics | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2013-04-26 |
| 1831431451 | Kristina Pyclik | Pediatrics | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2013-03-21 |
| 1114276870 | Erin Beyer Merli | Registered Nurse | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2012-09-09 |
| 1861755928 | Nichole Elizabeth Tucker | Nurse Practitioner | 200 Forbes St, Ste 200, Annapolis, MD 21401-1538 | 2012-06-22 |
| 1326312729 | Michelle Elizabeth Schall | Nurse Practitioner | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2012-03-02 |
| 1164717823 | Dominica P. Donnal | Pediatrics | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2011-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1851610794 | Erik Haskins | Pediatrics | 200 Forbes St #200, Annapolis, MD 21401 | 2010-05-17 |
| 1760672117 | Jeralyn Bernier Jacobs | Pediatrics | 1909 Carrollton Rd, Annapolis, MD 21409-6243 | 2007-07-31 |
| 1043395916 | Kenneth M Hoffman | Pediatrics | 121 Old Solomons Island Rd, Annapolis, MD 21401 | 2006-10-26 |
| 1265514913 | Mark Lester | Pediatrics | 200 Forbes Street, Suite 200, Annapolis, MD 21401 | 2006-10-20 |
| 1346337524 | Cyndra Renee Mogayzel | Pediatrics | 1912 Manor Grove Rd, Annapolis, MD 21401-2947 | 2006-10-06 |
| 1437245040 | Elizabeth A. Parker | Pediatrics | 49 Old Solomons Island Rd Ste 303, Annapolis, MD 21401-3870 | 2006-10-04 |
| 1457384950 | Roberta Braun | Pediatrics | 2629 Riva Rd, Suite 112, Annapolis, MD 21401-7428 | 2006-07-08 |
| 1386685089 | Samuel Libber | Pediatrics | 200 Forbes St Ste 200, Annapolis, MD 21401-1599 | 2006-06-10 |
| 1831144849 | Ahmet Aybar | Pediatrics | 130 Lubrano Dr Ste 112, Annapolis, MD 21401-7192 | 2006-05-24 |
| 1659330066 | Allan J Monfried | Pediatrics | 2114 Generals Hwy, Annapolis, MD 21401-7488 | 2006-03-23 |
| Find all providers in ANNAPOLIS | ||||
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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.