Kelly Ann Hausenbauer (NPI# 1053695304, PAC ID# 6608049242) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1053695304 |
| PAC ID by PECOS | 6608049242 |
| Professional Enrollment ID | I20111027000314 |
| Full Name | Kelly Ann Hausenbauer |
| Organization Legal Name | FREDERICK GASTROENTEROLOGY ASSOCIATES PA |
| Address |
310 W 9th St Frederick MD 21701-4546 |
| Phone Number | 3016956800 |
| Gender | F |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8022058650 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210005 | FREDERICK MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 310 W 9th St, Frederick, MD 21701-4546 | 3016956800 | FREDERICK GASTROENTEROLOGY ASSOCIATES PA |
| Organization Legal Name | FREDERICK GASTROENTEROLOGY ASSOCIATES PA |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Edward Hunt | Gastroenterology | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Andrew Donald Mowery | Gastroenterology | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Janet M Dakers Bidle | Nurse Practitioner | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Ali Husain | Gastroenterology | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Prabhavathy Sukumar | Gastroenterology | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Carolyn Joy Hedin | Nurse Practitioner | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Mathew Thomas Yeatman | Gastroenterology | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Nasim F Adimi | Physician Assistant | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Carmen Rosa Hernandez | Gastroenterology | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Gordon D Liss | Gastroenterology | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Street Address |
310 W 9TH ST |
| City | FREDERICK |
| State | MD |
| Zip | 21701-4546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Edward Hunt | Gastroenterology | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Andrew Donald Mowery | Gastroenterology | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Janet M Dakers Bidle | Nurse Practitioner | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Ali Husain | Gastroenterology | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Prabhavathy Sukumar | Gastroenterology | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Carolyn Joy Hedin | Nurse Practitioner | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Mathew Thomas Yeatman | Gastroenterology | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Nasim F Adimi | Physician Assistant | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Carmen Rosa Hernandez | Gastroenterology | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Gordon D Liss | Gastroenterology | Frederick Gastroenterology Associates Pa | 310 W 9th St, Frederick, MD 21701-4546 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Mulhern | Clinical Social Worker | 10124 Old Frederick Rd, Frederick, MD 21701-1948 | |
| Adel Ibrahim | Optometry | Frederick Optometry LLC | 7810 Wormans Mill Rd, Suite C, Frederick, MD 21701-3038 |
| Rhonda Martin | Optometry | Frederick Optometry LLC | 7810 Wormans Mill Rd, Suite C, Frederick, MD 21701-3038 |
| Molly Carren | Optometry | Frederick Optometry LLC | 7810 Wormans Mill Rd, Suite C, Frederick, MD 21701-3038 |
| Kelly A Yates | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Jamie M Wood | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Zachary D Baker | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Gregory S Ellis | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Caleb M Fatzinger | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Ashley N Young | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Find all physicians in zip 21701 | |||
| City | FREDERICK |
| Zip Code | 21701 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FREDERICK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelly Ann Hausenbauer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.