Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMUEL O FADARE JR., MD
ActiveDR. SAMUEL O FADARE JR., MD is a Psychiatry healthcare provider located in GLADSTONE, Missouri. NPI 1184685802 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · GLADSTONE, MO
Registration Details
- NPI Number
- 1184685802
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2006 (20.382092762707 yrs)
- Last Updated
- Oct 6, 2022
- Licenses
-
04-24672 (KS)4301063006 (MI)90387 (GA)ME157175 (FL)103939 (MO)
Practice Information
- Address
-
5604 NE ANTIOCH RDGLADSTONE, MO, 641192327Browse MO providers · Browse ZIP 64119
- Phone
- 6603721313
- Fax
- 6603721339
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in GLADSTONE, MO
| Name | Credential | NPI |
|---|---|---|
| DR. EDMOND MICHAEL YOUNG | M.D. | 1053424838 |
| DR. DEBORAH ANN PAARMAN | M.D. | 1093871915 |
| MR. DAVID ASH | M.D. | 1295110542 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.