FREDERICK ENDOSCOPY CENTER LLC (NPI# 1063519866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063519866 |
| Entity Type | Organization |
| Organization Name | FREDERICK ENDOSCOPY CENTER LLC |
| Practice Address |
7115 Guilford Dr Suite 201 Frederick MD 21704-5199 |
| Practice Telephone | 3016826261 |
| Practice Fax Number | 3016826253 |
| Mailing Telephone | 3016826261 |
| Mailing Fax Number | 3016826253 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-09-02 |
| Authorized Official Name | DR. SEAN E HUNT (PRESIDENT) |
| Authorized Official Telephone | 3016956800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FREDERICK ENDOSCOPY CENTER LLC | 7115 Guilford Dr Ste 201, Frederick, MD 21704-5236 |
| Street Address |
7115 GUILFORD DR SUITE 201 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704-5199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241346 | Allen J Gilson | Internal Medicine | 7115 Guilford Dr, Suite #202, Frederick, MD 21704-5199 | 2005-08-02 |
| 1811259260 | David Charles Brandenburg | Dentist | 7115 Guilford Dr, Ste 101, Frederick, MD 21704-5199 | 2012-06-12 |
| 1912272295 | Byrd Dental Health Center | Dentist | 7115 Guilford Dr, Ste 101, Frederick, MD 21704-5199 | 2012-03-20 |
| 1811179443 | Phuong Dinh Ho | Internal Medicine | 7115 Guilford Dr, Ste 202, Frederick, MD 21704-5199 | 2007-12-05 |
| 1447465232 | Anish Sumant Desai | Internal Medicine | 7115 Guilford Dr, Suite #202, Frederick, MD 21704-5199 | 2007-05-14 |
| 1780685784 | Neil V Waravdekar | Internal Medicine | 7115 Guilford Dr, Suite #202, Frederick, MD 21704-5199 | 2005-08-02 |
| 1932100930 | Michael A Tolino | Internal Medicine | 7115 Guilford Dr, Suite 202, Frederick, MD 21704-5199 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013372986 | Gi Wellness Center of Frederick, LLC | Clinic/Center | 165 Thomas Johnson Dr, Suite B&c, Frederick, MD 21702-4742 | 2015-12-21 |
| 1407829732 | Court Endoscopy Center of Frederick, Inc. | Clinic/Center | 85 Thomas Johnson Ct, Suite E, Frederick, MD 21702-4331 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212151 | Civista Clinical Services, LLC | Clinic/Center | 5 N La Plata Ct Ste 201, La Plata, MD 20646-5208 | 2019-12-16 |
| 1699219766 | Calvert Digestive Disease Associates, Endoscopy and Surgery Center LLC | Clinic/Center | 985 Prince Frederick Blvd Ste 104, Prince Frederick, MD 20678-3490 | 2016-12-08 |
| 1942462064 | Jonathan Mccone Jr. Md PC | Clinic/Center | 6196 Oxon Hill Rd Ste 640, Oxon Hill, MD 20745 | 2008-06-30 |
| 1386614832 | Carroll County Digestive Disease Center, LLC | Clinic/Center | 216b Washington Heights Med Ctr, Westminster, MD 21157-5633 | 2006-01-26 |
| 1982074001 | Clinical Associates P A | Clinic/Center | 515 Fairmount Ave, Ste 100a, Towson, MD 21286-5466 | 2015-10-01 |
| 1215287156 | Eastern Shore Endoscopy, LLC | Clinic/Center | 511 Idlewild Ave, Easton, MD 21601-3888 | 2012-09-19 |
| 1083855092 | Maryland Diagnostic and Therapeutic Endo Center, LLC | Clinic/Center | 621 Ridgely Ave, Suite 105, Annapolis, MD 21401-1081 | 2009-03-20 |
| 1013170521 | Greenbelt Endoscopy Center, LLC | Clinic/Center | 9821 Greenbelt Rd, Ste 103, Lanham, MD 20706-6240 | 2008-07-03 |
| 1861689382 | Lifebridge Investments, Inc | Clinic/Center | 515 Fairmount Ave, Ste 100a, Towson, MD 21286-5466 | 2007-09-28 |
| 1821115700 | Urbana Gi Endoscopy Center, LLC | Clinic/Center | 3280 Urbana Pike, Suite 104, Ijamsville, MD 21754 | 2007-03-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FREDERICK ENDOSCOPY CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.