LAKESIDE MED, LLC (NPI# 1073142147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073142147 |
Entity Type | Organization |
Organization Name | LAKESIDE MED, LLC |
Practice Address |
7820b Wormans Mill Rd # 276 Frederick MD 21701-3034 |
Practice Telephone | 7172203266 |
Mailing Telephone | 7172203266 |
Enumeration Date | 2020-04-02 |
Last Update Date | 2020-04-02 |
Authorized Official Name | DOUGLAS H BROWN (MEMBER) |
Authorized Official Telephone | 7172203266 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Mason-Dixon Mobile Medicine | Doing Business As Name - Organization |
Street Address |
7820B WORMANS MILL RD # 276 |
City | FREDERICK |
State | MD |
Zip Code | 21701-3034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
Find all providers in zip 21701 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033754221 | Linda A Cann | Family Medicine | 1738 Wheyfield Dr, Frederick, MD 21701-9337 | 2019-11-12 |
1730633785 | Skyline Physicians of Md LLC | Family Medicine | 2110 Walnut Ridge Ct # 1l, Frederick, MD 21702-5921 | 2016-08-08 |
1538372826 | Jaller Family Medicine, PC | Family Medicine | 184 Thomas Johnson Dr Ste 200, Frederick, MD 21702-4561 | 2007-05-07 |
1083718308 | Naaz A Hussain | Family Medicine | 195 Thomas Johnson Drive, Frederick, MD 21702 | 2006-09-08 |
1972606481 | Guoping Xu | Family Medicine | 45 Thomas Johnson Dr Ste 109, Frederick, MD 21702 | 2006-09-07 |
1427075324 | Comanche County Healthcare | Family Medicine | 319 E Josephine, Frederick, OK 73542 | 2006-07-16 |
1073575015 | Praveen K Bolarum | Family Medicine | 196 Thomas Johnson Dr Ste 135, Frederick, MD 21702 | 2006-04-05 |
1447221460 | David Elijah Jaller | Family Medicine | 184 Thomas Johnson Dr, Suite 200, Frederick, MD 21702 | 2006-01-28 |
1164492401 | Julio J Menocal | Family Medicine | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4059 | 2006-01-26 |
1407826886 | Eugene B Casagrande | Family Medicine | 1564 Opossumtown Pike, Frederick, MD 21702-4359 | 2006-01-26 |
Find all providers in FREDERICK |
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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.