DR. SACARED BODISON (NPI# 1265563001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265563001 |
| Entity Type | Individual |
| Full Name | DR. SACARED BODISON |
| Credential | M.D. |
| Practice Address |
University Health Center - University of Maryland Building 140 College Park MD 20742 |
| Mailing Address |
Po Box 4708 Silver Spring MD 20914-4708 |
| Practice Telephone | 3013148117 |
| Practice Fax Number | 3013147845 |
| Mailing Telephone | 3013148117 |
| Mailing Fax Number | 3013147845 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
D0023013 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
UNIVERSITY HEALTH CENTER - UNIVERSITY OF MARYLAND BUILDING 140 |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417475047 | Theodore Pickett Jr. | Psychologist | 4281 Chapel Lane, College Park, MD 20742 | 2017-09-04 |
| 1811320393 | Andrea Megan Winsor-lovely | Physician Assistant | 140 Campus Drive, College Park, MD 20742 | 2013-08-19 |
| 1336499151 | George Thekkanattu Thomas | Physician Assistant | Building 140 Campus Drive, University Health Center, College Park, MD 20742 | 2012-09-19 |
| 1386944742 | Kimberly Lynn Pfister | Physician Assistant | University Health Center Bldg 140, University of Maryland, College Park, MD 20742 | 2010-11-01 |
| 1144463449 | Dianne Handy | Speech-Language Pathologist | Dept. of Hearing and Speech Sciences 0100 Lefrak Hall, University of Maryland, College Parkl, MD 20742 | 2009-04-16 |
| 1477796902 | Colleen K Worthington | Speech-Language Pathologist | Dept. of Hearing & Speech Sciences 0100 Lefrak Hall, University of Maryland, College Park, MD 20742 | 2009-04-14 |
| 1518100189 | Vivian Diane Sisskin | Speech-Language Pathologist | 0100 Lefrak Hall, Dept. of Hearing & Speech Scienceuniversity of Maryland, College Park, MD 20742 | 2009-04-13 |
| 1235351859 | Judith Ann Chernoff | Internal Medicine | University of Maryland University Health Center, Building 140, Campus Drive, College Park, MD 20742 | 2007-05-03 |
| 1417097403 | Deirdre A Younger | Pharmacist | Bldg 140 Campus Drive, University of Maryland University Health Center, College Park, MD 20742 | 2007-02-07 |
| 1811131048 | Paula Christine Schauer | Audiologist | Dept. of Hearing and Speech Sciences 0100 Lefrak Hall, University of Maryland, College Park, MD 20742 | 2009-05-01 |
| Find all providers in zip 20742 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366573784 | Shelley Jane Parr | Pediatrics | University Health Ctr, Bldg. 140, College Park, MD 20742-4711 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821621707 | Montgomery County Maryland Government | Pediatrics | 19401 Crystal Rock Dr, Germantown, MD 20874-1593 | 2020-02-19 |
| 1386191419 | Ganesan,jhansi R. Md, PC | Pediatrics | 8355 Cherry Ln, Laurel, MD 20707-4829 | 2016-09-07 |
| 1346582244 | Katherine Maureen Carlin | Pediatrics | Johns Hopkins School of Medicine, 733 North Broadway, Suite 147, Baltimore, MD 21205-2196 | 2013-03-19 |
| 1316286032 | Prime Pediatrics, LLC | Pediatrics | 845 Quince Orchard Blvd Ste B, Gaithersburg, MD 20878-1676 | 2013-02-01 |
| 1346401189 | Rose - Marie St Jean Sylla | Pediatrics | 5209 Eliots Oak Rd, Columbia, MD 21044-1826 | 2008-06-24 |
| 1013123876 | Janet V Johnson | Pediatrics | 3311 Toledo Ter Ste C201, Hyattsville, MD 20782-8148 | 2007-05-15 |
| 1528198652 | Cheryl Lynn Parks | Pediatrics | 3527 N Rolling Rd, Suite 1, Baltimore, MD 21244-2223 | 2007-03-07 |
| 1851433965 | Karakat S & Indira V Gokulanathan Ptr | Pediatrics | 9470 Annapolis Rd Ste 311, Lanham, MD 20706-3022 | 2007-02-13 |
| 1528104452 | Maegan Chaney | Pediatrics | 2568a Riva Rd Ste 103, Annapolis, MD 21401-7457 | 2007-01-29 |
| 1013063775 | Carleen Townsend-akpan | Pediatrics | 14204 Water Fowl Way, Upper Marlboro, MD 20774-4002 | 2007-01-26 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 20742 |
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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.