FREDRIC WILLIAM TINETTI (NPI# 1548666910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548666910 |
| Entity Type | Individual |
| Full Name | FREDRIC WILLIAM TINETTI |
| Credential | DVM |
| Practice Address |
15543 Old Columbia Pike Burtonsville MD 20866-1633 |
| Mailing Address |
15543 Old Columbia Pike Po Box 528 Burtonsville MD 20866 |
| Practice Telephone | 3014219200 |
| Practice Fax Number | 3014214106 |
| Mailing Telephone | 3014219200 |
| Mailing Fax Number | 3014214106 |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 1647 | MD | Other Service Providers |
| Street Address |
15543 OLD COLUMBIA PIKE |
| City | BURTONSVILLE |
| State | MD |
| Zip Code | 20866-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194356717 | Kristin Sagun | Psychologist | 3901 National Drive, Suite #100, Burtonsville, MD 20866 | 2020-02-02 |
| 1093299208 | Jennifer L Wood | Doula | 4301 Ambrose Ct, Burtonsville, MD 20866 | 2018-09-24 |
| 1770092363 | Carolina Mattos | Behavior Technician | 4402 Meanderwood Dr, Burtonsville, MD 20866 | 2017-09-26 |
| 1942728233 | Peggy Sue Bruce | Behavior Technician | 4401 Bender Court, Burtonsville, MD 20866 | 2017-09-06 |
| 1376919902 | Ovetta Lorraine Harris | Speech-Language Pathologist | 14705 Perrywood Drive, Burtonsville, MD 20866 | 2015-08-18 |
| 1639552540 | Theresia Ajenanyi Atechong | Home Health Aide | 13518 Greencastle Ridge Ter Apt 402, Burtonsville, MD 20866 | 2015-07-09 |
| 1720405111 | Benedict Obi | Registered Nurse | 4301 Sgar Pine Ct, Burtonsville, MD 20866 | 2014-03-24 |
| 1023430337 | Etienne Dimbeck | Home Health Aide | 3671 Autumn Glenn Circle, Boturnsville, MD 20866 | 2014-01-07 |
| 1295089001 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 15648 Old Columbia Pike, Burtonsville, MD 20866 | 2012-10-31 |
| 1538412515 | Dorothy Kembong Taylor | Home Health Aide | 43 Scarlet Sage Court, Burtonsville, MD 20866 | 2012-10-16 |
| Find all providers in zip 20866 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942669080 | Bonnie Miller | Veterinarian | 418 N Gorsuch Rd, Westminster, MD 21157-6500 | 2016-02-17 |
| 1932581204 | Anahi Rivera | Veterinarian | 14925 Dufief Mill Rd, North Potomac, MD 20878-2535 | 2015-06-23 |
| 1669854030 | Matthew Raleigh | Veterinarian | 12935 Bridger Dr, Germantown, MD 20874-3992 | 2015-06-22 |
| 1154701902 | Tiffany Robertson | Veterinarian | 8074 Veterans Hwy, Millersville, MD 21108-1400 | 2015-06-08 |
| 1518367770 | Kelly Stern | Veterinarian | 1212 Ritchie Hwy, Arnold, MD 21012-1807 | 2014-08-25 |
| 1922411743 | Jane Catherine Adsit | Veterinarian | 4811 Raemore Ln, Bowie, MD 20715-1048 | 2014-06-09 |
| 1730501347 | Beltway Veterinary Cardiology Inc | Veterinarian | 6700 Laurel Bowie Rd, Bowie, MD 20715-1707 | 2014-01-16 |
| 1609298363 | Emily Kimberly | Veterinarian | 105 University Blvd W, Silver Spring, MD 20901-2441 | 2014-01-15 |
| 1962831693 | Brooke Elizabeth Anne Loewenstein | Veterinarian | 3820 Buckeystown Pike, Buckeystown, MD 21717 | 2013-11-04 |
| 1235566472 | Vera Calpeno | Veterinarian | 4499 Mountian Road, Pasadena, MD 21122-4534 | 2013-10-02 |
| Find all providers with the same taxonomy | ||||
| City | BURTONSVILLE |
| Zip Code | 20866 |
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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.