Frederick Beavers (NPI# 1740287606, PAC ID# 7214821693) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1740287606 |
| PAC ID by PECOS | 7214821693 |
| Professional Enrollment ID | I20061229000101 |
| Full Name | Frederick Beavers |
| Organization Legal Name | WHC PHYSICIAN GROUP LLC |
| Address |
11355 Pembrooke Sq Suite 108 Waldorf MD 20603-4805 |
| Phone Number | 2028776733 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1991 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 6103093513 |
| Number of Group Practice Members | 338 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090011 | MEDSTAR WASHINGTON HOSPITAL CENTER |
| 210039 | CALVERT MEMORIAL HOSPITAL |
| 210062 | MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 | 2028776733 | WHC PHYSICIAN GROUP LLC |
| 11355 Pembrooke Sq, Waldorf, MD 20603-4805 | 2028776733 | WHC PHYSICIAN GROUP LLC |
| Organization Legal Name | WHC PHYSICIAN GROUP LLC |
| Physicians | 309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seema Pai | Otolaryngology | Whc Physician Group LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
| Julie M Fitzgerald | Optometry | Whc Physician Group LLC | 110 Irving St Nw, Washington, DC 20010-3017 |
| Seife Yohannes | Critical Care (intensivists) | Whc Physician Group LLC | 110 Irving St Nw, Washington, DC 20010-3017 |
| Jennifer Yu | Critical Care (intensivists) | Whc Physician Group LLC | 110 Irving St Nw, Washington, DC 20010-3017 |
| Candice Jordan | Emergency Medicine | Whc Physician Group LLC | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 |
| Jonathan Watson | Emergency Medicine | Whc Physician Group LLC | 201 E University Pkwy, Medstar Un Memo Hosp, Baltimore, MD 21218-2829 |
| Vera Malkovska | Hematology | Whc Physician Group LLC | 110 Irving St Nw, Washington, DC 20010-3017 |
| Arthur Flatau Iii | Vascular Surgery | Whc Physician Group LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
| Lini Edwin | Internal Medicine | Whc Physician Group LLC | 110 Irving St Nw, Washington, DC 20010-3017 |
| Uzma Vaince | Internal Medicine | Whc Physician Group LLC | 110 Irving St Nw, Washington, DC 20010-3017 |
| Street Address |
11355 PEMBROOKE SQ SUITE 108 |
| City | WALDORF |
| State | MD |
| Zip | 20603-4805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seema Pai | Otolaryngology | Whc Physician Group LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
| Arthur Flatau Iii | Vascular Surgery | Whc Physician Group LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
| Edward C Clark | Ophthalmology | 11355 Pembrooke Sq, Suite 107, Waldorf, MD 20603-4805 | |
| Giancarlo M Chiancone | Otolaryngology | Whc Physician Group LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
| Shawna Angel Chisholm | Nurse Practitioner | Ideal Telemedicine Services LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
| Kaashif Eazazuddin | Otolaryngology | Whc Physician Group LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
| Felix A Adeyemi | Physician Assistant | Ideal Telemedicine Services LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
| Kelley K Prado | Physician Assistant | Ideal Telemedicine Services LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
| Hyungchul Kim | Colorectal Surgery (proctology) | Whc Physician Group LLC | 11355 Pembrooke Sq, Waldorf, MD 20603-4805 |
| Elizabeth H Guonjian | Emergency Medicine | Whc Physician Group LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nevena Puletic | Nurse Practitioner | Khosrow Davachi,md PC | 45 Saint Particks Dr, Waldorf, MD 20603-4507 |
| Ruth Brozgal | Speech Language Pathologist | Fox Rehab Slp Md LLC | 45 Saint Patricks Dr, Waldorf, MD 20603-4507 |
| Karin Novinger | Speech Language Pathologist | Fox Rehab Slp Md LLC | 45 Saint Patricks Dr, Waldorf, MD 20603-4507 |
| Melinda Sears | Speech Language Pathologist | Fox Rehab Slp Md LLC | 45 Saint Patricks Dr, Waldorf, MD 20603-4507 |
| Ryerson Stinson | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 10 Saint Patricks Dr, Suite 401, Waldorf, MD 20603-4583 |
| Vabian L Paden | Physical Medicine and Rehabilitation | Paden-life-care LLC | 10 Saint Patricks Dr, Waldorf, MD 20603-4583 |
| Frank Digiovannantonio | Occupational Therapy | Proflex Physical Therapy of Maryland, LLC | 10 Saint Patricks Dr, Waldorf, MD 20603-4583 |
| Dainty J Jackson | Family Medicine | 10 Saint Patricks Dr, Suite 502, Waldorf, MD 20603-4584 | |
| Hadia Riaz Choudhary | Optometry | Frederick J Sauerburger Md Pa | 11345 Pembrooke Sq, Suite 105, Waldorf, MD 20603-4804 |
| Frederick J Sauerburger | Ophthalmology | Frederick J Sauerburger Md Pa | 11345 Pembrooke Sq, Suite 105, Waldorf, MD 20603-4804 |
| Find all physicians in zip 20603 | |||
| City | WALDORF |
| Zip Code | 20603 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | WALDORF + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Frederick Beavers.
| 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.