DR. STEPHEN R FAHEY (NPI# 1659420990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659420990 |
Entity Type | Individual |
Full Name | DR. STEPHEN R FAHEY |
Credential | M.D. |
Practice Address |
Univ of Md Health Ctr Campus Drive, Bldg. 140 College Park MD 20742-0001 |
Practice Telephone | 3013148145 |
Practice Fax Number | 3014059755 |
Mailing Telephone | 3013148145 |
Mailing Fax Number | 3014059755 |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | D26478 | MD | Allopathic & Osteopathic Physicians |
Street Address |
UNIV OF MD HEALTH CTR CAMPUS DRIVE, BLDG. 140 |
City | COLLEGE PARK |
State | MD |
Zip Code | 20742-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376768184 | Anise Henry | Family Medicine | Univ of Md Health Ctr, Bldg. 140, Campus Drive, College Park, MD 20742-0001 | 2007-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417475047 | Theodore Pickett Jr. | Psychologist | 4281 Chapel Lane, College Park, MD 20742 | 2017-09-04 |
1811320393 | Andrea Megan Winsor-lovely | Physician Assistant | 140 Campus Drive, College Park, MD 20742 | 2013-08-19 |
1336499151 | George Thekkanattu Thomas | Physician Assistant | Building 140 Campus Drive, University Health Center, College Park, MD 20742 | 2012-09-19 |
1386944742 | Kimberly Lynn Pfister | Physician Assistant | University Health Center Bldg 140, University of Maryland, College Park, MD 20742 | 2010-11-01 |
1144463449 | Dianne Handy | Speech-Language Pathologist | Dept. of Hearing and Speech Sciences 0100 Lefrak Hall, University of Maryland, College Parkl, MD 20742 | 2009-04-16 |
1477796902 | Colleen K Worthington | Speech-Language Pathologist | Dept. of Hearing & Speech Sciences 0100 Lefrak Hall, University of Maryland, College Park, MD 20742 | 2009-04-14 |
1518100189 | Vivian Diane Sisskin | Speech-Language Pathologist | 0100 Lefrak Hall, Dept. of Hearing & Speech Scienceuniversity of Maryland, College Park, MD 20742 | 2009-04-13 |
1235351859 | Judith Ann Chernoff | Internal Medicine | University of Maryland University Health Center, Building 140, Campus Drive, College Park, MD 20742 | 2007-05-03 |
1265563001 | Sacared Bodison | Pediatrics | University Health Center - University of Maryland, Building 140, College Park, MD 20742 | 2007-03-07 |
1417097403 | Deirdre A Younger | Pharmacist | Bldg 140 Campus Drive, University of Maryland University Health Center, College Park, MD 20742 | 2007-02-07 |
Find all providers in zip 20742 |
Taxonomy Code | 204C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine, Sports Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972792109 | Charles C Reel, M.d. | Neuromusculoskeletal Medicine, Sports Medicine | 30065 Business Center Dr Ste 3, Charlotte Hall, MD 20622-3196 | 2007-10-24 |
1982801726 | Brian Y. Kim, D.o., P.a. | Neuromusculoskeletal Medicine, Sports Medicine | 13217 Executive Park Ter, Germantown, MD 20874-2647 | 2007-06-27 |
1144333972 | Thomas D Caruso | Neuromusculoskeletal Medicine, Sports Medicine | 1050 Key Pkwy, Suite 103, Frederick, MD 21702-4053 | 2006-08-16 |
1225043045 | Heather P Peirce | Neuromusculoskeletal Medicine, Sports Medicine | 220 Baltimore Ave, Cumberland, MD 21502-2442 | 2006-07-30 |
1174586556 | Zohair Shehzad Alam | Neuromusculoskeletal Medicine, Sports Medicine | 8830 Cameron Ct Ste 333, Silver Spring, MD 20910-4155 | 2006-04-07 |
1851376651 | Joan Luo | Neuromusculoskeletal Medicine, Sports Medicine | 8943 Shady Grove Ct, Gaithersburg, MD 20877-1308 | 2005-12-14 |
1356997530 | Kaizen Chiropractic LLC | Neuromusculoskeletal Medicine, Sports Medicine | 4641 Montgomery Ave Ste 404, Bethesda, MD 20814-3431 | 2019-08-14 |
1902104581 | Upper Chesapeake Neurodiagnostics | Neuromusculoskeletal Medicine, Sports Medicine | 101 Chesapeake Blvd, Suite D, Elkton, MD 21921-6607 | 2011-03-07 |
1902028939 | Frank Javier Tanon | Neuromusculoskeletal Medicine, Sports Medicine | 2411 W Belvedere Ave, Suite 104, Baltimore, MD 21215-5228 | 2007-05-02 |
1629104583 | David Philip Moss | Neuromusculoskeletal Medicine, Sports Medicine | 5454 Wisconsin Ave, Suite 1000, Chevy Chase, MD 20815-6901 | 2007-02-26 |
Find all providers with the same taxonomy |
City | COLLEGE PARK |
Zip Code | 20742 |
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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.