FREDERICK S BADER (NPI# 1174519029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174519029 |
| Entity Type | Individual |
| Full Name | FREDERICK S BADER |
| Credential | PA-C |
| Practice Address |
19134 Clover Meadow Pl Gaithersburg MD 20879-3141 |
| Mailing Address |
Po Box 2993 Gaithersburg MD 20886-2993 |
| Practice Telephone | 3015401188 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA-003178-L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770933392 | Frederick Charles Bader | Psychologist | 1231 North Broad Street, 5th Floor, Philadelphia, PA 19122 | 2016-06-14 |
| Street Address |
19134 CLOVER MEADOW PL |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20879-3141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565688 | Mark Schulze | Behavior Technician | 20620 Prathertown Rd., Gaithersburg, MD 20879 | 2020-10-12 |
| 1497242705 | Ajena Callaway | Occupational Therapist | 354 A Christopher Avenue, Gaithersburg, MD 20879 | 2018-04-23 |
| 1952702789 | Alan Huang | Physical Therapist | 18603 Tribble Way, Gaithersburg, MD 20879 | 2014-09-11 |
| 1225452089 | Benefitcare Inc. | Home Health | 18211d Flower Hill Way, Gaithersburg, MD 20879 | 2014-02-13 |
| 1578832739 | Thomas Yoon | Dentist | 20219 Goshen Rd, Gaithersburg, MD 20879 | 2011-12-17 |
| 1962637090 | Team Care, LLC | Non-emergency Medical Transport (VAN) | 8041 Cessna Avenue, Suite 200, Gaithersburg, MD 20879 | 2009-05-19 |
| 1730327412 | Maryland Home Health, LLC | Home Health | 2 Professional Drive, Suite 241, Gaithersburg, MD 20879 | 2009-02-03 |
| 1528223740 | Behzad Mirdamadi | Dentist | 18218 Flower Hill Way, Dental Suite Habibi and Mirdamadi, D.d.s., P.a., Gaithersburg, MD 20879 | 2008-07-28 |
| 1265696322 | Nargess Mirhakkak Biparva | Dentist | 941 B Russell Ave, Gaithersburg, MD 20879 | 2008-07-17 |
| 1891818639 | Carolyn June Figard | Counselor | 933 Russess Ave., Suite D, Gaithersburg, MD 20879 | 2007-04-09 |
| Find all providers in zip 20879 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811403033 | Antonietta E Iosue | Physician Assistant | 9561 White Pillar Ter, Gaithersburg, MD 20882-2816 | 2017-12-26 |
| 1003343138 | Tracy Jacinda Branch | Physician Assistant | 8501 Plum Creek Dr, Gaithersburg, MD 20882-4438 | 2017-05-19 |
| 1134449614 | Jamie Lichtenstein Stackman | Physician Assistant | 7 Granite Pl Ste 14, Gaithersburg, MD 20878-6607 | 2010-06-07 |
| 1548465917 | Ivan Carbonell-sanchez | Physician Assistant | 18731 Blue Violet Ln, Gaithersburg, MD 20879-1529 | 2007-06-18 |
| 1417999640 | Mary Elizabeth Farrar | Physician Assistant | 7 Granite Pl, Suite 14, Gaithersburg, MD 20878-6586 | 2006-06-12 |
| 1063416881 | Katherine J. Doneby Smith | Physician Assistant | 702 Russell Ave, Ste 100, Gaithersburg, MD 20877-2606 | 2005-06-09 |
| 1962842179 | Melissa Anne Sinclair | Physician Assistant | 806 W Diamond Ave, # 110, Gaithersburg, MD 20878-1415 | 2013-07-02 |
| 1881886257 | Samantha L Newbegin-fraction | Physician Assistant | 818 W Diamond Ave, Suite 130, Gaithersburg, MD 20878-1417 | 2007-08-09 |
| 1548381965 | Charlene Elston Morgan | Physician Assistant | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3413 | 2007-04-03 |
| 1013049618 | Lana Joan Smith | Physician Assistant | 981 Russell Ave, James Matthews, M.d., Gaithersburg, MD 20879-6219 | 2007-03-09 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20879 |
Please comment or provide details below to improve the information on FREDERICK S BADER.
| 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.