MAGGIE C. FADER


Address: 3100 Sw 62 Ave (#212, N.e. Wing), Miami, FL 33155
Phone: 3056628360

MAGGIE C. FADER (NPI# 1609025915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609025915
Entity Type Individual
Full Name MAGGIE C. FADER
Other Name MAGGIE C. EIDSON
Credential MD
Practice Address 3100 Sw 62 Ave (#212, N.e. Wing)
Miami
FL 33155
Mailing Address 5955 Ponce De Leon Blvd.
Coral Gables
FL 33146-2423
Practice Telephone 3056628360
Practice Fax Number 3056666387
Mailing Telephone 3056611515
Mailing Fax Number 3056623723
Enumeration Date 2008-09-10
Last Update Date 2015-01-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
ME94494 FL Allopathic & Osteopathic Physicians
N 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
237351 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 274488100 05

Office Location

Street Address 3100 SW 62 AVE (#212, N.E. WING)
City MIAMI
State FL
Zip Code 33155

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Taxonomy Information

Taxonomy Code 2080P0207X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Hematology-Oncology

Taxonomy Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225598626 Kidz Medical Services, Inc. Pediatrics 3100 Sw 62 Ave Suite 121-north East Wing, Miami, FL 33155-3009 2019-03-21
1417429986 Natalie Gallegos Pediatrics 3100 Sw 62nd Ave # 122, Miami, FL 33155-3009 2018-12-21
1679978118 Baptist Health Medical Group Oncology LLC Pediatrics 8940 N. Kendall Dr, Ste. 300e, Miami, FL 33176 2014-10-27
1801138144 Taumoha Ghosh Pediatrics 1601 Nw 12th Ave Fl 5, Miami, FL 33136-1005 2013-03-25
1194080382 Jorge Ricardo Galvez Silva Pediatrics 3100 Sw 62nd Ave Ste 121, Miami, FL 33155-3009 2012-07-12
1679791370 Guillermo Roberto De Angulo Pediatrics 3100 Sw 62nd Avenue, Ne Wing, Suite 121, Miami, FL 33155 2007-04-20
1124553656 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Apcp- 6 Tower, Suite 6226, Miami, FL 33155-3009 2017-04-21
1245663087 Ossama Mohammed Maher Pediatrics 3100 Sw 62nd Ave, Suite 121, Miami, FL 33155-3009 2013-08-15
1215280441 Kidz Medical Services, Inc. Pediatrics 3100 Sw 62nd Ave, # 121, Miami, FL 33155-3009 2012-10-25
1679826804 Miami Pediatric Hematology Oncology Associates Pediatrics 3100 Sw 62nd Ave, Suite # 121, Miami, FL 33155-3009 2012-10-25
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Competitor

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City MIAMI
Zip Code 33155

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Dataset Information

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.

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