FREDERICK HEALTH MEDICAL GROUP LLC (NPI# 1073973012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073973012 |
| Entity Type | Organization |
| Organization Name | FREDERICK HEALTH MEDICAL GROUP LLC |
| Other Organization Name | MONOCACY HEALTH PARTNERS DENTAL CLINIC |
| Practice Address |
516 Trail Ave Frederick MD 21701-4942 |
| Practice Telephone | 2405667005 |
| Mailing Telephone | 2405667005 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | MICHELLE MAHAN (CFO) |
| Authorized Official Telephone | 2405663355 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDERICK HEALTH MEDICAL GROUP LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Frederick Health Medical Group | Doing Business As Name - Organization |
| Monocacy Health Partners Dental Clinic | Doing Business As Name - Organization |
| Monocacy Health Partners LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063780633 | Frederick Health Medical Group LLC | Internal Medicine | 1562 Opossumtown Pike Ste 102, Frederick, MD 21702-4337 | 2011-12-09 |
| 1578831145 | Frederick Health Medical Group LLC | Urology | 1562 Opossumtown Pike Ste 301, Frederick, MD 21702-4337 | 2011-12-09 |
| 1851939052 | Frederick Health Medical Group LLC | Internal Medicine | 1562 Opossumtown Pike Ste 103, Frederick, MD 21702-4337 | 2019-12-18 |
| 1598317893 | Frederick Health Medical Group LLC | Social Worker | 501 W 7th St, Frederick, MD 21701-4586 | 2019-07-16 |
| 1841782836 | Frederick Health Medical Group LLC | Clinic/Center | 501 W 7th St, Frederick, MD 21701-4586 | 2018-06-05 |
| 1659899979 | Frederick Health Medical Group LLC | Clinic/Center | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2017-09-07 |
| 1285156091 | Frederick Health Medical Group LLC | Nurse Practitioner | 501 W 7th St, Frederick, MD 21701-4586 | 2017-07-13 |
| 1780092916 | Frederick Health Medical Group LLC | Clinic/Center | 3430 Worthington Blvd, Frederick, MD 21704-7017 | 2014-07-31 |
| 1720496573 | Frederick Health Medical Group LLC | Internal Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2014-07-24 |
| 1457793424 | Frederick Health Medical Group LLC | Psychiatry & Neurology | 400 W 7th St, Frederick, MD 21701-4506 | 2013-07-19 |
| Street Address |
516 TRAIL AVE |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-4942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326128216 | Edward Stephen Andochick | Dentist | 516 Trail Ave, Suite B, Frederick, MD 21701-4933 | 2006-10-16 |
| 1831580513 | Lori L. Andochick, Dds, Pa | Dentist | 516 Trail Ave, Frederick, MD 21701-4942 | 2015-02-17 |
| 1447507256 | Morgan Kneib Baker | Dentist | 516 Trail Ave, Suite B, Frederick, MD 21701-4942 | 2012-08-10 |
| 1134497704 | Frederick Health Medical Group LLC | Internal Medicine | 516 Trail Ave, Frederick, MD 21701-4942 | 2011-12-09 |
| 1568781821 | Frederick Memorial Hospital Inc | Pain Medicine | 516 Trail Ave, Frederick, MD 21701-4942 | 2010-05-26 |
| 1558521203 | Eric Bush | Internal Medicine | 516 Trail Ave, Frederick, MD 21701-4942 | 2008-06-16 |
| 1447433818 | Dr. Edward S. Andochick, Pa | Dentist | 516 Trail Ave, Suite B, Frederick, MD 21701-4942 | 2007-12-08 |
| 1942493804 | Lori Lynn Andochick | Dentist | 516 Trail Ave, Frederick, MD 21701-4942 | 2007-08-23 |
| 1689872731 | Frederick Health Hospital Inc | Family Medicine | 516 Trail Ave, Frederick, MD 21701-4933 | 2007-07-10 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061166 | Frederick Center for Dentistry, LLC | Dentist | 140 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4485 | 2020-10-23 |
| 1427656248 | Kopit Dental Care, Pa | Dentist | 3420 Worthington Blvd Ste A, Frederick, MD 21704-7020 | 2020-10-14 |
| 1083232508 | Katherine Victoria Bell | Dentist | 5010 Buckeystown Pike Ste 144, Frederick, MD 21704-8340 | 2020-07-10 |
| 1932764479 | Ryan Krempel | Dentist | 161 Thomas Johnson Dr, Frederick, MD 21702-4314 | 2019-05-09 |
| 1942767074 | My Frederick Dentist LLC | Dentist | 2100 Old Farm Dr # 1-b, Frederick, MD 21702-9494 | 2019-02-25 |
| 1437643046 | Alexandra Fitzgerald | Dentist | 2090 Old Farm Dr Ste B, Frederick, MD 21702-5404 | 2018-06-18 |
| 1578092771 | Salar Azad | Dentist | 1020 Mill Pond Rd, Frederick, MD 21701-9427 | 2017-06-09 |
| 1902339062 | Lifetime Dental Care of Maryland Badger, P.C. | Dentist | 4959 Westview Dr, Suite F, Frederick, MD 21703-7369 | 2017-04-06 |
| 1003274382 | Brian K Motz Dds PC | Dentist | 65b Thomas Johnson Drive, Frederick, MD 21702-4371 | 2016-02-02 |
| 1093111874 | Kaitlyn Grosso | Dentist | 11339 Liberty Rd, Suite 9, Frederick, MD 21701-2620 | 2014-11-06 |
| 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.