Organization Active NPI

Fredrick a Isaacs MD PC

  • Specialist
  • Silver Spring, MD
National Provider Identifier
1194995324
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0054918 Issued in MD
Legal business name
FREDRICK A ISAACS MD PC
Practice address
3801 International Dr
Suite 208
Silver Spring, MD 20906-1550
Phone
(301) 598-8500
Fax
(301) 598-1787
NPI assigned
Mar 4, 2008
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Fredrick Arthur Isaacs, M.D.NPI 1588772594
Title
President
Phone
(301) 598-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0054918 MD Primary

Addresses

Primary practice location

3801 International Dr
Suite 208
Silver Spring, MD 20906-1550

Mailing address

3801 International Dr
Suite 208
Silver Spring, MD 20906-1550
Phone (301) 598-8500

Other identifiers 1

IdentifierTypeStateIssuer
5974020MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618000872 DC Part B Supplier - Clinic/Group Practice 9638154396 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

3801 International Dr
Ste 208
Silver Spring, MD 20906
Phone (301) 598-8500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1194995324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 INTERNATIONAL DR",
            "address_2": "SUITE 208",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061550",
            "telephone_number": "301-598-8500",
            "fax_number": "301-598-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 INTERNATIONAL DR",
            "address_2": "SUITE 208",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061550",
            "telephone_number": "301-598-8500",
            "fax_number": "301-598-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRICK A ISAACS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-598-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0054918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5974020",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.