WALTER FANBURG (NPI# 1922345115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922345115 |
| Entity Type | Individual |
| Full Name | WALTER FANBURG |
| Credential | MD |
| Practice Address |
4413 Muncaster Mill Rd Rockville MD 20853-1434 |
| Practice Telephone | 2408328409 |
| Practice Fax Number | 3014934737 |
| Mailing Telephone | 2408328409 |
| Mailing Fax Number | 3014934737 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
D0004033 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
4413 MUNCASTER MILL RD |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20853-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467626069 | Geriatric Care Facilities, LLC | Alzheimer Center (Dementia Center) | 4413 Muncaster Mill Rd, Rockville, MD 20853-1434 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487136701 | Products Exchange International | Non-emergency Medical Transport (VAN) | 4511 Faroe P Lace, A1, Rockville, MD 20853 | 2018-09-04 |
| 1831637180 | Hee K Park | Social Worker | 15422 Manor House Ter, Rockville, MD 20853 | 2017-02-07 |
| 1356898910 | Amelework Tesfaye Berhe | Nurse Anesthetist, Certified Registered | 4924 Arctic Terrace, Rockville, MD 20853 | 2016-09-01 |
| 1821461310 | Maryland Treatment Centers, Inc | Clinic/Center | 14705 Avery House, Rockville, MD 20853 | 2015-11-05 |
| 1952714370 | Narayanan Neurosurgery Services | Neurological Surgery | 4501 Pinetree Ave, Rockville, MD 20853 | 2014-06-03 |
| 1245655927 | Christopher Best | Counselor | 4701 Avery Road, Rockville, MD 20853 | 2014-03-04 |
| 1417200338 | Leo B Ropeta | Physical Therapist | 4705 Miltfred Terrace, Rockville, MD 20853 | 2012-10-16 |
| 1922358704 | Amy Wynne Luther-rockwell | Registered Nurse | 13815 Flint Rock Road, Rockville, MD 20853 | 2012-09-19 |
| 1689802456 | Dahlia Topolosky | Psychologist | 5818 B Hubbard Drive, Rockville, MD 20853 | 2009-06-30 |
| 1407035736 | Nancy Ruberto-beachler | Nutritionist | 4701 Jasmine Dr., Rockville, MD 20853 | 2007-11-02 |
| Find all providers in zip 20853 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447365804 | Lynn Herkowitz Deutsch | Psychiatry & Neurology | 6205 Executive Blvd, Rockville, MD 20852-3906 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235218173 | Anilda R Cabrera | Psychiatry & Neurology | Building 364-a, Avenue D, Perry Point, MD 21902 | 2006-11-02 |
| 1972513141 | Daniel Michael Beaudry | Psychiatry & Neurology | 8909 Reisterstown Rd, Pikesville, MD 21208-1015 | 2006-08-09 |
| 1083670517 | Allan A Anderson | Psychiatry & Neurology | 405 Dorchester Ave, Cambridge, MD 21613-2421 | 2006-04-24 |
| 1366866808 | David S. Irwin, M.d.,p.a. | Psychiatry & Neurology | 16220 Frederick Rd, Suite 308, Gaithersburg, MD 20877-4039 | 2014-02-04 |
| 1174878821 | Bon Secours Baltimore Physician Group | Psychiatry & Neurology | 2000 West Baltimore Street, Physician Services, Baltimore, MD 21223 | 2012-07-18 |
| 1639451180 | Renz Jarrett Juaneza | Psychiatry & Neurology | 5601 Loch Raven Blvd., Russell Morgan Building - Suite 406, Baltimore, MD 21239 | 2011-09-11 |
| 1306161542 | William J Polk, Md,pa | Psychiatry & Neurology | 5480 Wisconsin Ave, Suite 421, Chevy Chase, MD 20815-3530 | 2010-03-31 |
| 1205095098 | Tamela Denise Mcclam | Psychiatry & Neurology | 6501 N Charles St, Baltimore, MD 21204-6819 | 2008-06-05 |
| 1346407186 | Daniel M Beaudry Md LLC | Psychiatry & Neurology | 7600 Osler Dr, Suite 305, Towson, MD 21204-7735 | 2008-05-20 |
| 1588846232 | Mitchell Vincent Mathis Jr. | Psychiatry & Neurology | 10630 Little Patuxent Parkway, Suite 209, Columbia, MD 21044 | 2007-12-04 |
| Find all providers with the same taxonomy | ||||
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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.