DR. FAYE BLACKER SERKIN (NPI# 1821015900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821015900 |
| Entity Type | Individual |
| Full Name | DR. FAYE BLACKER SERKIN |
| Other Name | DR. FAYE ADINA BLACKER |
| Credential | M.D. |
| Practice Address |
1050 W Perimeter Rd Andrews Afb MD 20762-6601 |
| Practice Telephone | 2408576048 |
| Mailing Telephone | 2408576048 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 0101238851 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1050 W PERIMETER RD |
| City | ANDREWS AFB |
| State | MD |
| Zip Code | 20762-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114360898 | Lori Lynn Littlejohn | Nurse Anesthetist, Certified Registered | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2013-04-11 |
| 1770838948 | Heidi Derade | Military Health Care Provider | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2012-07-13 |
| 1285916601 | Janet Denise Cochran | Social Worker | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2011-09-12 |
| 1699054288 | Jose Antonio Rodriguez | Military Health Care Provider | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2011-08-12 |
| 1497081574 | Lindsay Kate Gregus | Military Health Care Provider | 1050 W Perimeter Rd, Sgoic, Andrews Afb, MD 20762-6601 | 2009-10-26 |
| 1093049827 | Jon Burrill Geno | Nurse Practitioner | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2009-09-26 |
| 1740419084 | Christopher Clement Rhoney | Military Health Care Provider | 1050 W Perimeter Rd, 779 Mdg/sgn, Andrews Afb, MD 20762-6601 | 2009-07-08 |
| 1689800278 | Dexter Dewayne Robinson | Military Health Care Provider | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2009-06-09 |
| 1942444815 | Erica Marie Jasper | Military Health Care Provider | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2009-04-23 |
| 1760625040 | Teresa Rollins | Military Health Care Provider | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2009-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210423 | Kevin Wang | Dentist | 1057 W Perimeter Rd, Prince County, MD 20762 | 2020-09-21 |
| 1306467667 | Priscilla Andalia | Student in an Organized Health Care Education/Training Program | 1065 W. Perimeter Road, Jb Andrews, MD 20762 | 2020-04-28 |
| 1275162877 | Gabi Im | Dentist | 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 | 2020-04-06 |
| 1083240139 | Shirley Ye | Student in an Organized Health Care Education/Training Program | 1025 Boston Rd, Joint Base Andrews, MD 20762 | 2020-03-20 |
| 1255988853 | Songxuan Zhou Niemtzow | Acupuncturist | Acupuncture Center and Integrative Medicine Center, 1060 West Perimeter Road, Joint Base Andrews, MD 20762 | 2019-08-20 |
| 1487010971 | Tracy Ellen Ambos | Social Worker | 5100 Fetcher Avenue, Joint Base Andrews, MD 20762 | 2016-01-13 |
| 1154718450 | Ryan Mason Kring | Emergency Medicine | Malcolm Grow Medical Clinics, 1060 W Perimeter Rd, Joint Base Andrews, MD 20762 | 2015-04-24 |
| 1518206044 | Jeremy Gallman | Veterinarian | 1781 Arnold Ave., Joint Base Andrews, MD 20762 | 2013-02-04 |
| 1043556418 | Kimberly Mccoy-singh | Physical Therapist | 1075 West Perimeter Rd., 779 Mdos/sgoy, Joint Base Andrews, MD 20762 | 2012-12-12 |
| 1417215799 | Alexander Rostam Kheradi | Emergency Medicine | 1050 West Perimeter Road, Joint Base Andrews, MD 20762 | 2012-04-24 |
| Find all providers in zip 20762 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902440076 | Suburban Maryland Urology Associates LLC | Urology | 6001 Montrose Rd Ste 1040, Rockville, MD 20852-4874 | 2019-11-01 |
| 1063904282 | Siobhan Ivy Telfer | Urology | Uob/nci, National Institutes of Health, Building 10, Room 1-5940w, Bethesda, MD 20892 | 2018-06-04 |
| 1760904379 | Peninsula Urology Associates, Pa | Urology | 1342 S Division St Unit 401, Salisbury, MD 21804-6921 | 2017-07-14 |
| 1568844744 | Sunil Patel | Urology | 600 N Wolfe St Bldg 2nd, Baltimore, MD 21287-0005 | 2015-06-23 |
| 1871903864 | Michael H. Kane, M.d., LLC | Urology | 688 Poole Rd Ste A, Westminster, MD 21157-6179 | 2014-04-30 |
| 1336567353 | Katherine Smentkowski | Urology | 10710 Charter Dr Ste 130, Columbia, MD 21044-3258 | 2014-04-07 |
| 1083032445 | Boston Medical Group- Maryland, P.C. | Urology | 5500 Knoll Drive, Suite 220, Columbia, MD 21045 | 2014-04-02 |
| 1588089593 | Gmb Urology, PC | Urology | 6495 New Hampshire Ave. Suite #203, Hyattsville, MD 20783 | 2014-02-27 |
| 1780028167 | Brian P Neuman | Urology | 6535 N Charles St Fl 5, Baltimore, MD 21204 | 2013-04-29 |
| 1205270667 | Sandeep Gurram | Urology | 10 Center Drive Building 10 Room 1-5940w, Bethesda, MD 20892-8424 | 2013-04-28 |
| Find all providers with the same taxonomy | ||||
| City | ANDREWS AFB |
| Zip Code | 20762 |
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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.