DR. AMANDA NICKLES FADER


Address: 6569 N Charles St, Suite 306, Baltimore, MD 21204-6831
Phone: 4438492765

DR. AMANDA NICKLES FADER (NPI# 1770750598) 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) 1770750598
Entity Type Individual
Full Name DR. AMANDA NICKLES FADER
Credential MD
Practice Address 6569 N Charles St
Suite 306
Baltimore
MD 21204-6831
Mailing Address Po Box 418953
Boston
MA 02241-8953
Practice Telephone 4438492765
Practice Fax Number 4438492946
Enumeration Date 2008-05-12
Last Update Date 2011-11-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0201X Obstetrics & Gynecology
Specialization: Gynecologic Oncology
D0069631 MD Allopathic & Osteopathic Physicians
N 207VX0201X Obstetrics & Gynecology
Specialization: Gynecologic Oncology
MT179962 OH Allopathic & Osteopathic Physicians

Office Location

Street Address 6569 N CHARLES ST
SUITE 306
City BALTIMORE
State MD
Zip Code 21204-6831

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689052888 Podiatry Associates, P.a. Podiatrist 6569 N Charles St, Suite 702, Baltimore, MD 21204-6831 2015-05-08
1659793123 Marisa Sanders Speech-Language Pathologist 6569 N Charles St, Ppw, Suite 401, Baltimore, MD 21204-6831 2014-01-17
1831511625 Melissa A Bidlack Speech-Language Pathologist 6569 N Charles St, Physicians Pavilion West, Suite 401, Baltimore, MD 21204-6831 2014-01-13
1043646847 Daniel A Sherwood Speech-Language Pathologist 6569 N Charles St, Physicians Pavilion West, Suite 401, Baltimore, MD 21204-6831 2013-09-25
1568898070 Jessica Silinonte Speech-Language Pathologist 6569 N Charles St, Physicians Pavilion West, Suite 401, Baltimore, MD 21204-6831 2013-09-17
1225463821 Greater Baltimore Plastic and Hand Surgery Associates, LLC Surgery 6569 N Charles St, Suite 706, Baltimore, MD 21204-6831 2013-09-13
1942575964 Maryland Prosthodontic Associates, PC Dentist 6569 N Charles St, Physicians Pavilion West, Suite 601, Baltimore, MD 21204-6831 2012-03-09
1164739678 Sandra D. Quartner, M.d., Pa Specialist 6569 N Charles St, Ste 304, Baltimore, MD 21204-6831 2010-09-03
1780997593 Ari Hayim Elman Internal Medicine 6569 N Charles St, Suite 205, Baltimore, MD 21204-6831 2010-07-21
1346488343 Mid Atlantic Eye, LLC Ophthalmology 6569 N Charles St, Gbmc Pavilion West, Suite 505, Baltimore, MD 21204-6831 2009-01-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194347575 Sheppard Pratt Non Contracted Services, LLC Psychiatry & Neurology 6525 N. Charles Street, Gibson Building, Towson, MD 21204 2020-05-08
1578104428 Debra James Counselor 6901 N. Charles Street, Towson, MD 21204 2019-10-02
1235696808 Sarita Hinton Social Worker 300 Allegheny Ave Ste 101, Baltimore, MD 21204 2019-03-01
1952883159 Peace,llc Social Worker 304 W. Chesapeake Ave, Towson, MD 21204 2018-09-04
1841772654 Hannah Kimberly Jefferson Acupuncturist 7407 York Road, Towson, MD 21204 2018-08-29
1699255216 Samantha Ann Rogers Nurse Practitioner 222 Bosley Avenue, Suite C3, Towson, MD 21204 2018-08-14
1750867560 Angela Michelle Hester Nurse Practitioner 6525 N Charles St #085, Towson, MD 21204 2018-07-15
1043729098 Communication Apptitude Inc. Speech-Language Pathologist 7400 York Road, Suite 231, Towson, MD 21204 2017-09-21
1679090203 Brian Dougherty Acupuncturist 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 2017-08-24
1659891976 Erin Mcgovern Specialist/Technologist Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 2017-06-27
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Taxonomy Information

Taxonomy Code 207VX0201X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecologic Oncology

Taxonomy Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538502489 Amanda Ramos Obstetrics & Gynecology Johns Hopkins Hospital, 600 N Wolfe Street, Phipps 249, Baltimore, MD 21287-0001 2013-04-10
1639329592 Stephanie Wethington Obstetrics & Gynecology 600 North Wolfe Street, Phipps 281, Baltimore, MD 21287-0005 2008-09-26
1700046943 Camille Catherine Gunderson Obstetrics & Gynecology 600 N Wolfe St, Baltimore, MD 21287-0005 2008-06-11
1629269642 Kara Long Roche Obstetrics & Gynecology 600 N Wolfe St, Phipps 281, Baltimore, MD 21287-4462 2007-08-06
1114129541 James Stuart Ferriss Obstetrics & Gynecology 600 N Wolfe Street, Phipps 281, Baltimore, MD 21287-0005 2007-06-05
1407930514 Gautam Rao Obstetrics & Gynecology 22 S Greene St, Suite S3ax-19, Baltimore, MD 21201-1544 2006-10-25
1154415974 Francis C Grumbine Md Pa Obstetrics & Gynecology 6569 N Charles St, Suite 711, Baltimore, MD 21204 2006-10-03
1982615019 Francis C Grumbine Obstetrics & Gynecology 6569 N Charles St, Suite 306, Baltimore, MD 21204-6831 2006-08-11
1134162738 Neil B Rosenshein Obstetrics & Gynecology 227 Saint Paul Pl, 6th Floor, Baltimore, MD 21202-2001 2006-06-13
1770521130 Dwight D Im Obstetrics & Gynecology 227 St. Paul Place, 6th Floor, Baltimore, MD 21202-2102 2006-06-04
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City BALTIMORE
Zip Code 21204

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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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