Melissa Fagonde (NPI# 1164715926, PAC ID# 2567683949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164715926 |
| PAC ID by PECOS | 2567683949 |
| Professional Enrollment ID | I20141028002724 |
| Full Name | Melissa Fagonde |
| Organization Legal Name | PROVIDENCE HEALTH SERVICES INC |
| Address |
1140 Varnum St Ne Pmb 103 Washington DC 20017-2149 |
| Phone Number | 2024484090 |
| Gender | F |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4385541622 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090011 | MEDSTAR WASHINGTON HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1140 Varnum St Ne, Pmb 103, Washington, DC 20017-2149 | 2024484090 | PROVIDENCE HEALTH SERVICES INC |
| 1150 Varnum St Ne, Washington, DC 20017-2149 | 2022693232 | PROVIDENCE HEALTH SERVICES INC |
| Organization Legal Name | PROVIDENCE HEALTH SERVICES INC |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita Kunwar | Internal Medicine | Providence Health Services Inc | 1160 Varnum St Ne, Depaul 021, Washington, DC 20017-2107 |
| Theresa Claire Brady Novak | Nurse Practitioner | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Marc Stephen Cottrell | Psychologist, Clinical | Providence Health Services Inc | 1053 Buchanan St Ne, Washington, DC 20017-2712 |
| Namman N Halabi | Emergency Medicine | Providence Health Services Inc | 1150 Varnum St Ne, Washington, DC 20017-2149 |
| Stephen M Seabron | Internal Medicine | Providence Health Services Inc | 1160 Varnum St Ne Depaul, Washington, DC 20017-2107 |
| Denise M Beales | Nurse Practitioner | Providence Health Services Inc | 1150 Varnum St Ne St Catherine Hall, Suit 300 Phs Cardiology Services, Washington, DC 20017-2180 |
| Marcy Oppenheimer | Family Medicine | Providence Health Services Inc | 1150 Varnum St Ne, Washington, DC 20017-2149 |
| Indira Fabiola Gradys De Eppler | Internal Medicine | Providence Health Services Inc | 1150 Varnum St Ne, Washington, DC 20017-2149 |
| Josephine Nwachukwu | Nurse Practitioner | Providence Health Services Inc | 1150 Varnum St Ne, Washington, DC 20017-2149 |
| Joy R Hudson | Clinical Social Worker | Providence Health Services Inc | 1150 Varnum St Ne, Washington, DC 20017-2149 |
| Street Address |
1140 VARNUM ST NE PMB 103 |
| City | WASHINGTON |
| State | DC |
| Zip | 20017-2149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nana Y Asamoah-mensah | Neurology | 1140 Varnum St Ne, Suite 205, Washington, DC 20017-2153 | |
| Ayasha L Williams-sharron | Physical Medicine and Rehabilitation | 1140 Varnum St Ne, Washington, DC 20017-2151 | |
| William Peterson | Neurology | 1140 Varnum St Ne, Suite 101, Washington, DC 20017-2100 | |
| Jose M Bordon | Infectious Disease | Washington Health Institute | 1140 Varnum St Ne, Suite 203, Washington, DC 20017-2153 |
| William Brownlee | General Surgery | 1140 Varnum St Ne, Pmb 106, Washington, DC 20017-2151 | |
| Christina Schreiber | Family Medicine | Providence Health Services Inc | 1140 Varnum St Ne, Pmb 103, Washington, DC 20017-2149 |
| Doris V Pablo -bustos | Internal Medicine | 1140 Varnum St Ne, Pmb 105, Washington, DC 20017-2151 | |
| Elwin G Bustos | Nephrology | Bustos and Associates, LLC | 1140 Varnum St Ne, Washington, DC 20017-2151 |
| Ines Natividad | Internal Medicine | Providence Health Services Inc | 1140 Varnum St Ne, Pmb 200, Washington, DC 20017-2149 |
| Antonina Y Kolesnikova | Nephrology | Bustos and Associates, LLC | 1140 Varnum St Ne, Washington, DC 20017-2151 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aisha M Ellis | Nurse Practitioner | Washington Hospital Center Corp | 216 Michigan Ave Ne, Washington, DC 20017-1095 |
| Stuart Lawrence Horwitz | Gastroenterology | 4200 Harewood Nerd, Washington, DC 20017-1511 | |
| Reginald Barnes | Ophthalmology | 4200 Harewood Rd Ne, Washington, DC 20017-1511 | |
| Herman Q Green | Physical Therapy | Lifestyle Rehab and Wellness LLC | 4200 Harewood Rd Ne, Little Sisters of The Poor, Washington, DC 20017-1511 |
| Rosetta T Hendricks | Nurse Practitioner | 1140 Varnum St Ne, Suite 106 Pmb, Washington, DC 20017-2100 | |
| Mowaffak Alhamad | Thoracic Surgery | 1160 Varnum St N E, Suite 318, Washington, DC 20017-2103 | |
| Jessica N Stillman | Psychologist, Clinical | The Neurology Center | 1160 Varnum St Ne, Suite 204, Washington, DC 20017-2103 |
| Dal Yoo | Medical Oncology | 1160 Varnum St Ne, Suite 318, Washington, DC 20017-2103 | |
| Jesse Gabriel Brand | Psychologist, Clinical | The Neurology Center | 1160 Varnum St Ne, Suite 204, Washington, DC 20017-2103 |
| Harminder S Sethi | Hematology/oncology | 1160 Varnum St Ne, Suite 318, Washington, DC 20017-2103 | |
| Find all physicians in zip 20017 | |||
| City | WASHINGTON |
| Zip Code | 20017 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WASHINGTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Melissa Fagonde.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.