MR. MARC P. DIFAZIO (NPI# 1972556462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972556462 |
| Entity Type | Individual |
| Full Name | MR. MARC P. DIFAZIO |
| Credential | M.D. |
| Practice Address |
9715 Medical Center Dr Suite 414 Rockville MD 20850-3320 |
| Practice Telephone | 3013092211 |
| Mailing Telephone | 3013092211 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | D0062946 | MD | Other Service Providers |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
D0062946 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010248221 | 05 | |
| MD | 005139000 | 05 |
| Street Address |
9715 MEDICAL CENTER DR SUITE 414 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386728 | Aesthetic Facial Surgery Center of Rockville | Clinic/Center | 9715 Medical Center Dr, Ste 414, Rockville, MD 20850-6310 | 2005-06-16 |
| 1194270363 | The Cataract Vision Institute LLC | Clinic/Center | 9715 Medical Center Dr, Suite 502b, Rockville, MD 20850-3320 | 2016-08-17 |
| 1760840508 | Alec M Anders Md Pa | Family Medicine | 9715 Medical Center Dr, 321, Rockville, MD 20850-3320 | 2016-02-08 |
| 1942608922 | Wellbeing Care Pharmacy | Pharmacy | 9715 Medical Center Dr, Rockville, MD 20850-3320 | 2014-12-08 |
| 1023424363 | Gwmfa-medical Faculty Associates, Inc | Clinic/Center | 9715 Medical Center Dr, Suite 230, Rockville, MD 20850-3320 | 2014-07-08 |
| 1710326061 | Fooroogh Ostovari | Family Medicine | 9715 Medical Center Dr, Rockville, MD 20850-3320 | 2013-06-20 |
| 1285978106 | Jennifer Sue Small | Nurse Practitioner | 9715 Medical Center Dr, #501, Rockville, MD 20850-3320 | 2012-11-15 |
| 1952668329 | The Lasik Vision Institute, LLC | Clinic/Center | 9715 Medical Center Dr, Suite 502, Rockville, MD 20850-3320 | 2012-04-23 |
| 1679839195 | Kenneth P Doughty | Physician Assistant | 9715 Medical Center Dr, Suite 528, Rockville, MD 20850-3320 | 2012-04-10 |
| 1144594169 | Roderick Catbagan | Physician Assistant | 9715 Medical Center Dr, 528, Rockville, MD 20850-3320 | 2012-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083051601 | Brittany Lauren Brand Poinson | Psychiatry & Neurology | 10084 Reisterstown Rd Ste 300a, Owings Mills, MD 21117 | 2013-05-23 |
| 1356683742 | Sarah Berten Neuhaus | Psychiatry & Neurology | 10 Center Drive Crc, Bethesda, MD 20852 | 2013-03-23 |
| 1982973707 | Ashura Buckley | Psychiatry & Neurology | 10 Center Drive, Msc 1255, Building 10, Room Ic250, Bethesda, MD 20892 | 2011-12-22 |
| 1063559268 | Kristin Whitford Baranano | Psychiatry & Neurology | 9910 Franklin Square Dr. Suite 2060, Johns Hopkins University- Clinical Practice Association, Baltimore, MD 21236-4902 | 2007-01-30 |
| 1225136989 | Sylvia Alexandra Edelstein | Psychiatry & Neurology | 7945 Macarthur Blvd, #200a, Cabin John, MD 20818 | 2006-09-20 |
| 1528068939 | Joseph Scheller | Psychiatry & Neurology | 2501 Willow Glen Dr, Baltimore, MD 21209-3106 | 2005-07-28 |
| 1578957130 | Laura Malone | Psychiatry & Neurology | 1800 Orleans St Rm 8446, Baltimore, MD 21287-0010 | 2015-03-22 |
| 1457798290 | Juan Alfredo Caceres Noguera | Psychiatry & Neurology | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2013-06-03 |
| 1508108879 | Sinai Hospital of Baltimore, Inc | Psychiatry & Neurology | 2435 W Belvedere Ave, Suite 32, Baltimore, MD 21215-5224 | 2013-03-25 |
| 1467746156 | Samata Singhi | Psychiatry & Neurology | 600 N Wolfe Street, Meyer 2-147, Baltimore, MD 21287-0005 | 2011-05-31 |
| 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.