Pamela P Fahr, MN, C-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R163566 Issued in MD

Practice address

2772 Rutland Rd
Davidsonville, MD 21035-1228

Phone

(443) 607-1033

NPI assigned

Mar 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cedar Health Ventures, LLC

  • Emergency Medicine Physician
  • Columbia, MD
  • NPI 1114931417
  NPD (past)
• Family Urgent Care, LLC

  • General Practice Physician
  • Crofton, MD
  • NPI 1306993803
  NPD (past)

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992822845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 DENTON CT",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141913",
            "telephone_number": "410-451-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 RUTLAND RD",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "210351228",
            "telephone_number": "443-607-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHR",
        "first_name": "PAMELA",
        "middle_name": "P",
        "credential": "MN, C-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R163566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca M Damore, CPNP
• Davidsonville Dental Group LLC
• Davidsonville Pediatrics
• Loren Dlugos
• Kim Alison Edwards, RN
• Carol Macneal Gillies, PA-C
• Robert G. Graw Jr., M.D.
• Jennie Hager, RDH
• Valory T. Hill, M.D.
• Maya Isaac

• All providers in Davidsonville, MD
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.