PRAFULL DAVE MD PA (NPI# 1881715472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881715472 |
| Entity Type | Organization |
| Organization Name | PRAFULL DAVE MD PA |
| Practice Address |
188 Thomas Johnson Dr Suite 200 Frederick MD 21702-4505 |
| Practice Telephone | 3016956556 |
| Practice Fax Number | 3016955485 |
| Mailing Telephone | 3016956556 |
| Mailing Fax Number | 3016955485 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-02-15 |
| Authorized Official Name | DR. PRAFULL DAVE (PRESIDENT) |
| Authorized Official Telephone | 3016956556 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
D20922 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
188 THOMAS JOHNSON DR SUITE 200 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699758185 | Ernesto C Torres | Pediatrics | 188 Thomas Johnson Dr, Suite 202, Frederick, MD 21702-4505 | 2005-11-29 |
| 1780121392 | Life Change Therapy Now LLC | Social Worker | 188 Thomas Johnson Dr, Suite 201, Frederick, MD 21702-4505 | 2017-01-21 |
| 1023466851 | Aaa Pain Management | Pain Medicine | 188 Thomas Johnson Dr, 102, Frederick, MD 21702-4505 | 2016-06-02 |
| 1144646050 | Lorena Ripoll | Social Worker | 188 Thomas Johnson Dr, Suite 201, Unit 2c, Frederick, MD 21702-4505 | 2014-03-16 |
| 1265488092 | Orthotic Solutions, LLC | Specialist | 188 Thomas Johnson Dr, Suite 100, Frederick, MD 21702-4505 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083051601 | Brittany Lauren Brand Poinson | Psychiatry & Neurology | 10084 Reisterstown Rd Ste 300a, Owings Mills, MD 21117 | 2013-05-23 |
| 1356683742 | Sarah Berten Neuhaus | Psychiatry & Neurology | 10 Center Drive Crc, Bethesda, MD 20852 | 2013-03-23 |
| 1982973707 | Ashura Buckley | Psychiatry & Neurology | 10 Center Drive, Msc 1255, Building 10, Room Ic250, Bethesda, MD 20892 | 2011-12-22 |
| 1063559268 | Kristin Whitford Baranano | Psychiatry & Neurology | 9910 Franklin Square Dr. Suite 2060, Johns Hopkins University- Clinical Practice Association, Baltimore, MD 21236-4902 | 2007-01-30 |
| 1225136989 | Sylvia Alexandra Edelstein | Psychiatry & Neurology | 7945 Macarthur Blvd, #200a, Cabin John, MD 20818 | 2006-09-20 |
| 1528068939 | Joseph Scheller | Psychiatry & Neurology | 2501 Willow Glen Dr, Baltimore, MD 21209-3106 | 2005-07-28 |
| 1578957130 | Laura Malone | Psychiatry & Neurology | 1800 Orleans St Rm 8446, Baltimore, MD 21287-0010 | 2015-03-22 |
| 1457798290 | Juan Alfredo Caceres Noguera | Psychiatry & Neurology | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2013-06-03 |
| 1508108879 | Sinai Hospital of Baltimore, Inc | Psychiatry & Neurology | 2435 W Belvedere Ave, Suite 32, Baltimore, MD 21215-5224 | 2013-03-25 |
| 1467746156 | Samata Singhi | Psychiatry & Neurology | 600 N Wolfe Street, Meyer 2-147, Baltimore, MD 21287-0005 | 2011-05-31 |
| Find all providers with the same taxonomy | ||||
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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.