Frederick Pediatric Associates

LBN: Frederick Pediatric Associates P.A.
Frederick Pediatric Associates is an health care organization with primary practice located at 87 Thomas Johnson Dr Suite 101, Frederick MD 21702-4301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Frederick Pediatric Associates P.A. can be contacted via phone (301) 694-0606, or through Nathan, Radha via phone (301) 694-0606.

Contact Information

Primary practice address
87 Thomas Johnson Dr Suite 101 Frederick MD 21702-4301
Phone: (301) 694-0606
Fax: (301) 662-6928
Website:
Map and Directions
Authorized official contact:
Name: Nathan, Radha Doctor of Medicine (MD)
Phone: (301) 694-0606

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Maryland

Profile Details

NPI number 1538146717
LBN Legal business name Frederick Pediatric Associates P.A.
DBA Doing business as Frederick Pediatric Associates
Authorized official Nathan, Radha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538146717 NPPES
Mh MEDICAID 082691000

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