JESSICA D FAIDLEY (NPI# 1902234214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902234214 |
| Entity Type | Individual |
| Full Name | JESSICA D FAIDLEY |
| Practice Address |
11110 Medical Campus Rd Suite 151 Hagerstown MD 21742-6700 |
| Mailing Address |
11110 Medical Campus Road Suite 151 Hagerstown MD 21742 |
| Practice Telephone | 3017977600 |
| Practice Fax Number | 3017971249 |
| Mailing Telephone | 3017977600 |
| Mailing Fax Number | 3017971249 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2015-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0005202 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11110 MEDICAL CAMPUS RD SUITE 151 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344592 | Stephen Mark Sachs | Surgery | 11110 Medical Campus Rd, Suite 147, Hagerstown, MD 21742-6700 | 2005-05-23 |
| 1295279214 | Sheri Lynn Denham | Nurse Practitioner | 11110 Medical Campus Rd, Hagerstown, MD 21742-6700 | 2016-12-09 |
| 1952843435 | Hagerstown Management LLC | Surgery | 11110 Medical Campus Rd, Suite 125, Hagerstown, MD 21742-6700 | 2016-11-15 |
| 1013465897 | Juris G. Eyler | Physician Assistant | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2016-09-21 |
| 1437501236 | Centers for Advanced Orthopaedics, LLC | Physical Therapist | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742 | 2016-07-06 |
| 1487009155 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 11110 Medical Campus Rd, Suite 100, Hagerstown, MD 21742-6700 | 2016-04-29 |
| 1154791143 | Gastroenterology Solutions LLC | Internal Medicine | 11110 Medical Campus Rd, Suite 242, Hagerstown, MD 21742-6700 | 2015-10-02 |
| 1457721912 | Ryan Williams | Dentist | 11110 Medical Campus Rd, Suite 148, Hagerstown, MD 21742-6700 | 2015-09-28 |
| 1932599636 | Anthony Disalvo | Physical Therapist | 11110 Medical Campus Rd, Suite 201, Hagerstown, MD 21742-6700 | 2015-02-02 |
| 1730588153 | Thoracic & Surgical Specialists of Cumberland Valley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11110 Medical Campus Rd, Suite 127, Hagerstown, MD 21742-6700 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730878 | Jennifer Bacher | Physician Assistant | 1185 Imperial Dr Ste 201, Hagerstown, MD 21740-6673 | 2019-10-01 |
| 1801909650 | Darryl Spencer Slack | Physician Assistant | 11110 Medical Campus Road, Suite 147, Meritus Health System, Hagerstown, MD 21742 | 2006-08-16 |
| 1831123843 | Melissa H Fang | Physician Assistant | 17 Western Maryland Parkway, Suite 100, Hagerstown, MD 21740 | 2006-07-10 |
| 1174502744 | Taryn Christine Longstreth | Physician Assistant | 1101 Opal Ct, Va Outpatient Clinic, Hagerstown, MD 21740-5941 | 2006-01-12 |
| 1942758677 | Chase Duckwall | Physician Assistant | 10715 Downsville Pike, Hagerstown, MD 21740-7240 | 2016-09-12 |
| 1518319284 | Kasey Layne Rigby | Physician Assistant | 11110 Medical Campus Rd Ste 205, Hagerstown, MD 21742-6797 | 2016-07-06 |
| 1053788422 | Luckricia Olivacce | Physician Assistant | 1150 Professional Ct, Suite P, Hagerstown, MD 21740-4100 | 2015-09-01 |
| 1316336449 | Collina Afriyie | Physician Assistant | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2015-01-13 |
| 1689076515 | Dana Feuillet | Physician Assistant | 1165 Imperial Dr, Suite 300, Hagerstown, MD 21740-6555 | 2014-09-23 |
| 1528483161 | Jodi Mayo | Physician Assistant | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2014-02-19 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
Please comment or provide details below to improve the information on JESSICA D FAIDLEY.
| 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.