Frederick Pediatric Associates P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

FREDERICK PEDIATRIC ASSOCIATES P.A.

Practice address

6550 Mercantile Dr E Ste 106
Frederick, MD 21703-7656

Phone

(301) 668-6347

Fax

(301) 668-9780

NPI assigned

Nov 18, 2024

Organization subpart

Yes

Parent organization

FREDERICK PEDIATRIC ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Mary Jarvis

Title

Office Manager

Phone

(301) 694-0606

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Nathan and Sobhani PA4 organizations share this tax ID, including this one

Part of

Nathan and Sobhani PA

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Frederick Pediatric Associates P.a.

  • Pediatrics Physician
  • Frederick, MD
  • NPI 1447075353
  NPD tax ID
• Frederick Pediatric Associates P.a.

  • Pediatrics Physician
  • Mount Airy, MD
  • NPI 1528883436
  NPD tax ID
• Frederick Pediatric Associates P.a.

  • Pediatrics Physician
  • Frederick, MD
  • NPI 1538146717
  NPD tax ID

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1891510707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 THOMAS JOHNSON DR STE 101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024427",
            "telephone_number": "301-694-0606",
            "fax_number": "877-276-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MERCANTILE DR E STE 106",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037656",
            "telephone_number": "301-668-6347",
            "fax_number": "301-668-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK PEDIATRIC ASSOCIATES P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERICK PEDIATRIC ASSOCIATES",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-694-0606"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Optometry, LLC
• Frederick Orthodontics Associates LLC
• Frederick Pathology Consultants, PA
• Frederick Pediatric Associates P.a.
• Frederick Pediatric Associates P.a.
• Frederick Pediatric Dentistry, LLC
• Frederick Periodontal Associates
• Frederick Physical Therapy Inc.
• Frederick Primary Care Associates, P.a.
• Frederick Primary Care Associates, P.a.

• Pediatrics Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.