DR. KELSEY JYL FAWCETT (NPI# 1720366347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720366347 |
| Entity Type | Individual |
| Full Name | DR. KELSEY JYL FAWCETT |
| Credential | M.D. |
| Practice Address |
3800 Reservoir Rd Nw Dept Of Washington DC 20007-2113 |
| Practice Telephone | 2024445437 |
| Practice Fax Number | 2024442961 |
| Mailing Telephone | 2024445437 |
| Mailing Fax Number | 2024442961 |
| Enumeration Date | 2011-07-31 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
279584 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3800 RESERVOIR RD NW DEPT OF |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20007-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487969622 | Jessica P Beer | Physician Assistant | 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 | 2010-08-12 |
| 1225659253 | Andriy Kostyuk | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 | 2020-04-30 |
| 1477172500 | Martin James Mcnamara | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 | 2020-04-09 |
| 1326677543 | Marina Janai Addario | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 | 2020-04-08 |
| 1962031575 | Lisa Crisalli | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 | 2020-04-06 |
| 1669001699 | Ilana Greene Margulies | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 | 2020-04-02 |
| 1821626037 | Douglass Camp Johnson | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 | 2020-04-01 |
| 1235767351 | Gregory Francis Keating | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 | 2020-04-01 |
| 1356979553 | Takashi Kitani | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 | 2020-04-01 |
| 1710515051 | Amit Kumar Dey | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1992289334 | Chelsea Carolyn Stahl | Nurse Practitioner | Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 | 2018-09-21 |
| 1205322070 | Etta L Sandler | Social Worker | 3222 N Street, N.w., # 300, Washington, DC 20007 | 2018-07-05 |
| 1609361286 | Sarah Kathryn Thibeau | Speech-Language Pathologist | 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 | 2018-06-26 |
| 1366947871 | Stephen William Kwong | Student in an Organized Health Care Education/Training Program | Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 | 2018-03-27 |
| 1720599020 | Nnenna Sylverline Ewuzie | Home Health Aide | 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 | 2017-10-13 |
| 1457870958 | Chief Logan Health Supplies | Durable Medical Equipment & Medical Supplies | 3220 N St Nw #1400, Washington, DC 20007 | 2017-09-15 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| 1003211129 | Mary Oluwaseyi Akinbo | Registered Nurse | 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 | 2014-10-31 |
| Find all providers in zip 20007 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427602671 | Rebecca Siegel Zhang | Emergency Medicine | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2019-07-26 |
| 1194188771 | Andrew William Kramer | Emergency Medicine | 3800 Reservoir Rd Nw, Dept of Pediatrics, Washington, DC 20007-2113 | 2016-04-01 |
| 1114330305 | Nathaniel Kristopher Jones | Emergency Medicine | 111 Michigan Ave Nw, Washington, DC 20010 | 2014-06-05 |
| 1538422753 | Theodore Epaminondas Trigylidas | Emergency Medicine | 111 Michigan Ave Nw, Washington, DC 20010 | 2012-06-21 |
| 1205152709 | Lenore Renee Jarvis | Emergency Medicine | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2010-04-09 |
| 1720294390 | Rasha Dorothy Sawaya | Emergency Medicine | 111 Michigan Ave, Nw, Children's National Medical Center, Washington, DC 20010 | 2007-05-14 |
| 1083708176 | Bruce Klein | Emergency Medicine | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2006-10-03 |
| 1861586950 | Shireen Atabaki | Emergency Medicine | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2006-10-03 |
| 1821003617 | Deena Berkowitz | Emergency Medicine | 111 Michigan Ave Nw, Emergency Department, Washington, DC 20010-2978 | 2006-07-30 |
| 1164463675 | Candace Scales | Emergency Medicine | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2006-06-08 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20007 |
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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.