DEO GRACIAS FAUSTINO MD PA (NPI# 1467771774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467771774 |
| Entity Type | Organization |
| Organization Name | DEO GRACIAS FAUSTINO MD PA |
| Other Organization Name | DEOGRACIAS V. FAUSTINO (SOLO PRACTICE) |
| Practice Address |
4111 Lower Beckleysville Rd Hampstead MD 21074-2248 |
| Mailing Address |
Po Box 698 Hampstead MD 21074-0698 |
| Practice Telephone | 4103744488 |
| Mailing Telephone | 4103744488 |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2011-07-22 |
| Authorized Official Name | DEOGRACIAS FAUSTINO (INTERNIST) |
| Authorized Official Telephone | 4103744488 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0012901 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | SOLO PRACTICE NPI AS DEOGRACIAS V. FAUSTINO, M.D. | 1164504528 | 01 |
| MD | DMHMH LICENSE NO. | D0012901 | 01 |
| MD | 009431500 | 05 | |
| DEA | AF4638637 | 01 |
| Other Name | Type Code |
|---|---|
| Deogracias V. Faustino (solo practice) | Former Legal Business Name - Organization |
| Street Address |
4111 LOWER BECKLEYSVILLE RD |
| City | HAMPSTEAD |
| State | MD |
| Zip Code | 21074-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093700809 | Stephen Laiken | Internal Medicine | 4111 Lower Beckleysville Rd, Ste C, Hampstead, MD 21074-2248 | 2005-09-19 |
| 1164504528 | Deogracias Vallar Faustino | Hospitalist | 4111 Lower Beckleysville Rd, Dv Faustino Md Pa, Hampstead, MD 21074 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306987565 | Thomas P Kenney | Optometrist | 1631 N Main Street, Hampstead, MD 21074 | 2007-02-09 |
| 1649348798 | Resh Family Dentistry | Dentist | Box 198, 1306 N Main St, Hampstead, MD 21074 | 2006-11-30 |
| 1649344409 | Sarah Jennifer Frattali | Internal Medicine | 4231 Northwood Drive, Hampstead, MD 21074 | 2006-11-20 |
| 1538233390 | Barbara Ann Ball | Family Medicine | 4231 North Woods Trail, Hampstead, MD 21074 | 2006-11-20 |
| 1639257066 | Eugene Duston Mersinger | Dentist | 695 Hanover Road, Hampstead, MD 21074 | 2006-11-02 |
| 1720162100 | Jon Michael Breakey | Physical Therapist | 1801 Hanover Pike, Hampstead, MD 21074 | 2006-10-24 |
| 1942395322 | Kimberly Louise Locati-boucher | Occupational Therapist | 1208 Woodland Court, Hampstead, MD 21074 | 2006-10-03 |
| 1477656130 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2311 Hanover Pike, Hampstead, MD 21074 | 2006-09-07 |
| 1760490023 | Domingo A Rocha | Family Medicine | 4231 Northwoods Trail, Hampstead, MD 21074 | 2006-08-03 |
| 1255364584 | Weis Markets Inc | Pharmacy | 720 Hanover Pike, Hampstead, MD 21074 | 2006-07-09 |
| Find all providers in zip 21074 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972153724 | Shoreline Family Practice PC | Family Medicine | 18676 Us Highway 17 N Ste 1, Hampstead, NC 28443-4050 | 2019-09-13 |
| 1174939011 | Carroll Health Group, LLC | Family Medicine | 2319 Hanover Pike, Suite E-f, Hampstead, MD 21074-1137 | 2014-07-10 |
| 1316238173 | Mostafa Mohamed Rezk | Family Medicine | 144 Merchants Cir, Hampstead, NC 28443-5039 | 2011-04-28 |
| 1851600159 | Wilmington Health Pllc | Family Medicine | 20 Southend Ct, Hampstead, NC 28443-7013 | 2010-10-04 |
| 1831414150 | Island Family Medicine, Pllc | Family Medicine | 2540 Nc Highway 210 E, Hampstead, NC 28443-8988 | 2010-03-30 |
| 1114116662 | William J Mattox Md Pa | Family Medicine | 16150 Us Highway 17 N Ste C, Hampstead, NC 28443-7308 | 2007-10-22 |
| 1538233390 | Barbara Ann Ball | Family Medicine | 4231 North Woods Trail, Hampstead, MD 21074 | 2006-11-20 |
| 1811008477 | Michelle F Jones | Family Medicine | 40 Ravenswood Rd, Hampstead, NC 28443-4022 | 2006-08-31 |
| 1760490023 | Domingo A Rocha | Family Medicine | 4231 Northwoods Trail, Hampstead, MD 21074 | 2006-08-03 |
| 1922059419 | William Joseph Mattox | Family Medicine | 16150 Us Highway 17 N, Suite C, Hampstead, NC 28443-7308 | 2006-05-12 |
| Find all providers in HAMPSTEAD | ||||
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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.