Stacie B Peddy
M.D. | Pediatric Critical Care Medicine | Female
Stacie B Peddy, M.D. is a Baltimore, Maryland based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Stacie B Peddy is
22 S Greene St, Baltimore, Maryland - 21201-1544. She can be contacted on phone at
410-328-6957 and fax number 410-706-5103.
Stacie B Peddy is a sole proprietor of her business.
NPI number (Unique professional ID) for Stacie B Peddy is
1700805090 which was assigned by NPPES on 18 Jul, 2006 and it was last updated on 19 Oct, 2021.
Stacie B Peddy license number is
D92544 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Maryland.
Stacie B Peddy is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Stacie B Peddy basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Stacie B Peddy |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Stacie B Peddy address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 22 S Greene St
Baltimore, MD, 21201-1544
United States |
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| Phone Number : | 410-328-6957 |
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| Fax Number : | 410-706-5103 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700805090 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Jul, 2006 |
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| Last Updated On : | 19 Oct, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacie B Peddy are as mentioned. Primary taxonomy code for Stacie B Peddy, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD426570 | PA |
| 2080P0202X | Pediatrics Pediatric Cardiology | No | MD426570 | PA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | MD426570 | PA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | D92544 | MD |
Legacy Identifiers:
Other legacy medical identifiers of Stacie B Peddy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0092967 | MEDICAID | NJ | |
| 101470283 | MEDICAID | PA | |
| 242289EMD | Other | PA | MEDICARE PTAN |
| 659065900 | MEDICAID | MD | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
34TH STREET AND CIVIC CENTER BLVD, SUITE 9329
PHILADELPHIA, PA, 19104-4399
United States | PHILADELPHIA, PA | 215-590-1858 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 62063
Baltimore, MD, 21264-2063
United States |
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| Phone Number : | 410-706-5181 |
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| Fax Number : | 410-706-5103 |
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Business Location:
Patients can refer following map for directions to
Stacie B Peddy practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.