FRED MO (NPI# 1003098351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003098351 |
| Entity Type | Individual |
| Full Name | FRED MO |
| Credential | MD |
| Practice Address |
3800 Reservoir Rd Nw Washington DC 20007-2113 |
| Practice Telephone | 2024448766 |
| Practice Fax Number | 2024441655 |
| Mailing Telephone | 2024448766 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2015-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
MD042613 | DC | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
255689 | NY | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
0101251301 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
3800 RESERVOIR RD NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20007-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748802 | John Hugh Lynch | Urology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-05-31 |
| 1346841087 | Shahrzad Chitsaz | Pharmacist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-11-07 |
| 1891392296 | Morgan M Casimir | Occupational Therapist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-10-08 |
| 1922615764 | Kelly Trump | Nurse Practitioner | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-25 |
| 1790392819 | La Sheron A Bankhead | Speech-Language Pathologist | 3800 Reservoir Rd Nw, Bles Building, Ground Floor, Room Cg-12, Washington, DC 20007 | 2020-09-24 |
| 1689289688 | Laurie L Nguyen | Registered Nurse | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-15 |
| 1598370652 | Yazan Subhi Juma' | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-14 |
| 1326653668 | Allison Elizabeth Boyd | Physician Assistant | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-14 |
| 1770198301 | Medstar Medical Group II LLC | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-10 |
| 1497370167 | Kirby K Edsill | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1992289334 | Chelsea Carolyn Stahl | Nurse Practitioner | Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 | 2018-09-21 |
| 1205322070 | Etta L Sandler | Social Worker | 3222 N Street, N.w., # 300, Washington, DC 20007 | 2018-07-05 |
| 1609361286 | Sarah Kathryn Thibeau | Speech-Language Pathologist | 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 | 2018-06-26 |
| 1366947871 | Stephen William Kwong | Student in an Organized Health Care Education/Training Program | Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 | 2018-03-27 |
| 1720599020 | Nnenna Sylverline Ewuzie | Home Health Aide | 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 | 2017-10-13 |
| 1457870958 | Chief Logan Health Supplies | Durable Medical Equipment & Medical Supplies | 3220 N St Nw #1400, Washington, DC 20007 | 2017-09-15 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| 1003211129 | Mary Oluwaseyi Akinbo | Registered Nurse | 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 | 2014-10-31 |
| Find all providers in zip 20007 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033537907 | David Joseph Love | Orthopaedic Surgery | 3800 Reservoir Rd Nw, Dept of Orthopaedic Surgery, Washington, DC 20007-2113 | 2014-03-28 |
| 1487918439 | Andrew Pham | Orthopaedic Surgery | 2112 F St Nw Ste 305, Washington, DC 20037-2761 | 2012-06-25 |
| 1053574921 | Geoffrey Kaung | Orthopaedic Surgery | 110 Irving St Nw, Washington, DC 20010-3017 | 2008-07-09 |
| 1336193358 | Raj Rao | Orthopaedic Surgery | 2300 M St Nw, 5th Floor, Washington, DC 20037-1434 | 2006-05-22 |
| 1437125564 | Warren D Yu | Orthopaedic Surgery | 2150 Pennsylvania Ave Nw, 7th Floor, Washington, DC 20037-3201 | 2006-02-28 |
| 1417956517 | Samuel Wiesel | Orthopaedic Surgery | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-07-20 |
| City | WASHINGTON |
| Zip Code | 20007 |
Please comment or provide details below to improve the information on FRED MO.
| 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.