DR. FREDERICK PAUL BEAVERS (NPI# 1740287606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740287606 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK PAUL BEAVERS |
| Credential | M.D. |
| Practice Address |
106 Irving St Nw Pob, Suite 3150 North Washington DC 20010-2927 |
| Mailing Address |
106 Irving St Nw Pob North 3150 Washington DC 20010-2927 |
| Practice Telephone | 2028778050 |
| Practice Fax Number | 2028770456 |
| Mailing Telephone | 2028770275 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2016-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D60615 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
106 IRVING ST NW POB, SUITE 3150 NORTH |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295730521 | Anna Park | Ophthalmology | 106 Irving St Nw, Ste 321, Washington, DC 20010-2993 | 2005-06-14 |
| 1275177909 | Rabi Lee | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-11-06 |
| 1689215527 | Elshaday Teferi | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-10-02 |
| 1770145708 | Morgan Malpass | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-06-29 |
| 1285100909 | Bianca Cutler | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2018-10-20 |
| 1588164396 | Blen T Sime | Physician Assistant | 106 Irving St Nw, Washington, DC 20010-2927 | 2018-02-19 |
| 1033620794 | Mariah Covington | Psychologist | 106 Irving St Nw, Washington, DC 20010-2927 | 2017-10-20 |
| 1811410822 | Michael Setzer | Genetic Counselor, MS | 106 Irving St Nw, Washington, DC 20010-2927 | 2017-07-21 |
| 1265974703 | Andrea Frances Goergen | Dietitian, Registered | 106 Irving St Nw, Suite 301, Washington, DC 20010-2927 | 2016-11-15 |
| 1497205769 | Andrea Onufrychuk | Nurse Practitioner | 106 Irving St Nw, Suite 2300, Washington, DC 20010-2927 | 2016-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802857 | Usa Vascular Centers of District of Columbia LLC | Surgery | 600 Pennsylvania Se, Suite 101a, Washington, DC 20003-4316 | 2020-08-20 |
| 1417334525 | Kyle Reynolds | Surgery | 3800 Reservoir Rd Nw Fl 4, Washington, DC 20007-2113 | 2015-04-28 |
| 1306124938 | Salim Lala | Surgery | 2150 Pennsylvania Ave Nw Ste 6b-409, Washington, DC 20037-3201 | 2011-08-01 |
| 1609195585 | Metropolitan Vascular Access | Surgery | 106 Irving St Nw Ste 408, Washington, DC 20010-2989 | 2010-05-18 |
| 1578756722 | John Franklin Lazar | Surgery | 110 Irving St Nw Rm G-253, Washington, DC 20010 | 2007-08-21 |
| 1710359211 | Usa Vein Clinics of Disctrict of Columbia, LLC | Surgery | 6323 Georgia Ave Nw, Washington, DC 20011-1101 | 2015-10-22 |
| 1558764308 | Capitol Vascular Care Pllc | Surgery | 2311 M St Nw, Suite 501, Washington, DC 20037-1445 | 2014-10-07 |
| 1922346832 | Faris Z Hakki, M.d. | Surgery | 106 Irving St Nw, Pob 408, Washington, DC 20010-2927 | 2013-01-28 |
| 1922357243 | Abdullah Alfawaz | Surgery | 110 Irving St Nw, Washington, DC 20010 | 2012-08-31 |
| 1821222001 | Steven David Abramowitz | Surgery | 106 Irving St Nw, Physician Office Building, Suite 3150 North Tower, Washington, DC 20010-2927 | 2009-05-04 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
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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.