ANDREA JAVIER FADRIGO (NPI# 1780684589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780684589 |
| Entity Type | Individual |
| Full Name | ANDREA JAVIER FADRIGO |
| Credential | MD |
| Practice Address |
4022 Zuck Rd Erie PA 16506-4592 |
| Practice Telephone | 8148775424 |
| Practice Fax Number | 8148775423 |
| Mailing Telephone | 8148775424 |
| Mailing Fax Number | 8148775423 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2013-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD054323L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 522499 | 01 |
| NY | UNIVERA | 00051472001 | 01 |
| PA | GATEWAY | P000954 | 01 |
| PA | UNISON | 66433 | 01 |
| NY | NY MEDICAL ASSISTANCE | 0086517 | 01 |
| PA | 0014958330004 | 05 | |
| PA | 0014958330006 | 05 | |
| OH | OH MEDICAL ASSISTANCE | 2224668 | 01 |
| PA | UPMC | 212544 | 01 |
| PA | BLUE SHIELD | 615452 | 01 |
| Street Address |
4022 ZUCK RD |
| City | ERIE |
| State | PA |
| Zip Code | 16506-4592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245748656 | Alexandra Dziat | Physician Assistant | 4022 Zuck Rd, Erie, PA 16506-4592 | 2018-01-19 |
| 1184060469 | Children's Community Care | Pediatrics | 4022 Zuck Rd, Erie, PA 16506-4592 | 2013-05-14 |
| 1699095760 | Regional Health Services, Inc. | Clinical Medical Laboratory | 4022 Zuck Rd, Erie, PA 16506-4592 | 2010-06-10 |
| 1205823234 | Maria Irma Santos Leonard | Pediatrics | 4022 Zuck Rd, Erie, PA 16506-4592 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1235479882 | Jack Gold | Pediatrics | 4425 Upland Dr, Erie, PA 16509-1654 | 2013-02-19 |
| 1467626283 | Ravi Kumar Chekka | Pediatrics | 1611 Peach St Ste 300, Erie, PA 16501-2122 | 2008-04-14 |
| 1811968498 | Stephanie F Russo | Pediatrics | 3910 Caughey Rd, Suite 170, Erie, PA 16506-4096 | 2006-01-31 |
| 1215917166 | Sant Ram | Pediatrics | 2123 W 8th St, Erie, PA 16505-4743 | 2006-01-18 |
| 1124029301 | Lynne M Birkmeyer | Pediatrics | 4022 Zuck Road, Your Pediatric Connection West, Erie, PA 16506-4592 | 2005-08-10 |
| 1376549998 | Samuel Allen Fagenholz | Pediatrics | 300 State St Ste 301, Erie, PA 16507-1430 | 2005-06-28 |
| 1093718124 | Joseph C Barber | Pediatrics | 3580 Peach St, Erie, PA 16508-2776 | 2005-05-23 |
| 1487153144 | Pediatric Care Center of Erie, PC | Pediatrics | 1611 Peach St Ste 300, Erie, PA 16501-2122 | 2018-02-08 |
| 1861857534 | Children's Community Care | Pediatrics | 3910 Caughey Rd, Suite 170, Erie, PA 16506-4096 | 2015-12-23 |
| 1700276896 | Sviatlana Sirash | Pediatrics | 201 State St, Erie, PA 16550-0002 | 2015-01-28 |
| Find all providers in ERIE | ||||
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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.