STEPHEN D FERNICOLA (NPI# 1710307772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710307772 |
| Entity Type | Individual |
| Full Name | STEPHEN D FERNICOLA |
| Credential | MD |
| Practice Address |
8901 Rockville Pike Building 1, 19th Floor Room 19107 Bethesda MD 20889-0001 |
| Mailing Address |
Naval Hospital Jacksonville 2080 Child Street Box 1000 Jacksonville FL 32214-0001 |
| Practice Telephone | 3012950537 |
| Mailing Telephone | 0938447813 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 0101264557 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
8901 ROCKVILLE PIKE BUILDING 1, 19TH FLOOR ROOM 19107 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182775 | Robert Nee | Internal Medicine | 8901 Rockville Pike, Bethesda, MD 20889-3026 | 2005-05-23 |
| 1528668829 | Jessica R Wonn | Dietitian, Registered | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-10-27 |
| 1730790957 | Zaneta Kinga Corral | Dentist | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-08-11 |
| 1346865862 | Min Chen | Student in an Organized Health Care Education/Training Program | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-06-10 |
| 1902426422 | Rachel Hyeun Han | Student in an Organized Health Care Education/Training Program | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-04-24 |
| 1790313997 | Timothy Joseph Banks | Student in an Organized Health Care Education/Training Program | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-04-01 |
| 1801424080 | Charles Daniel Nicoli | Student in an Organized Health Care Education/Training Program | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-04-01 |
| 1346878626 | Lorener Brayboy | Social Worker | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-03-31 |
| 1467080788 | Herman Otto Ira Pfaeffle | Student in an Organized Health Care Education/Training Program | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-03-31 |
| 1386272805 | Zachary Cyrus Affrin | Student in an Organized Health Care Education/Training Program | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364507 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 6707 Democracy Blvd Ste 504, Bethesda, MD 20817-1166 | 2020-10-21 |
| 1285012351 | Keith Tariq Aziz | Orthopaedic Surgery | 8610 Burning Tree Rd, Bethesda, MD 20817-2944 | 2015-05-11 |
| 1437109907 | Joseph Raymond O'brien | Orthopaedic Surgery | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817 | 2006-05-12 |
| 1417345950 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 6420 Rockledge Dr, Suite 4290, Bethesda, MD 20817 | 2015-01-07 |
| 1861833675 | Maryland Orthopedic Institute, LLC | Orthopaedic Surgery | 6420 Rockledge Drive, Suite 4290, Bethesda, MD 20817-1106 | 2013-07-09 |
| 1164861811 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 6430 Rockledge Drive, Suite 510, Bethesda, MD 02817 | 2013-06-17 |
| 1821351842 | Richard Lee Purcell | Orthopaedic Surgery | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2012-06-25 |
| 1467715771 | Eric Jay Feuchtbaum | Orthopaedic Surgery | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817-1184 | 2012-06-21 |
| 1376827642 | Alfred Wolanin IIi | Orthopaedic Surgery | 8900 Wisconsin Ave, Bethesda, MD 20889-5600 | 2011-10-05 |
| 1114223617 | Montague Blundon, IIi, Md, Pa | Orthopaedic Surgery | 5640 Shields Dr, Wyngate Medical Park, Bethesda, MD 20817-3573 | 2011-01-31 |
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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.