MONTGOMERY GENERAL HOSPITAL INC (NPI# 1104215581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104215581 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY GENERAL HOSPITAL INC |
| Practice Address |
18101 Prince Philip Dr Olney MD 20832-1514 |
| Practice Telephone | 3017748882 |
| Mailing Telephone | 3017748882 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | DAVID HAVRILLA (VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 3017748770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588710313 | Montgomery General Hospital Inc | Local Education Agency (LEA) | 17735 Georgia Ave, Ste 010, Olney, MD 20832-2276 | 2007-01-26 |
| Street Address |
18101 PRINCE PHILIP DR |
| City | OLNEY |
| State | MD |
| Zip Code | 20832-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922341 | Montgomery General Hospital, Inc. | General Acute Care Hospital | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2005-06-15 |
| 1922619402 | Casey Lee Yelton | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2020-08-10 |
| 1407477383 | Sandy Gay Wiese | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2020-05-01 |
| 1053952531 | Letha Menon Sunil | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-10-04 |
| 1588211106 | Rachel Danielle Teicher | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-08-19 |
| 1871146928 | Alexandria Daniel | Emergency Medicine | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-07-18 |
| 1053874321 | Medstar Medical Group II LLC | Psychiatry & Neurology | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-04-12 |
| 1699247395 | Benjamin Labovitz | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2018-12-19 |
| 1659846269 | Julie Martina Perta | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2018-10-10 |
| 1760994925 | Amanda Freese | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2017-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
| Find all providers in zip 20832 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053765651 | Olney Pain Center | Clinical Medical Laboratory | 3413 Olandwood Ct Ste 103, Olney, MD 20832-1489 | 2016-04-20 |
| 1083979876 | Bridgeance Corp | Clinical Medical Laboratory | 801 S West St, Executive Center Suite 123, Olney, IL 62450-1334 | 2012-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574431 | Hope Health Systems Inc | Clinical Medical Laboratory | 1726 Whitehead Rd Ofc, Gwynn Oak, MD 21207-4003 | 2020-10-05 |
| 1396356846 | Qualvita Diagnostics | Clinical Medical Laboratory | 9101 Cherry Ln Ste 213, Laurel, MD 20708-1151 | 2020-08-10 |
| 1467070672 | Diverse Diagnostics LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 214, Owings Mills, MD 21117-3902 | 2020-07-14 |
| 1669095600 | Aeon Technologies, LLC | Clinical Medical Laboratory | 1 Technology Dr Ste 1600, Frostburg, MD 21532-2499 | 2020-05-26 |
| 1093336349 | Personalized Medicine Care Diagnostics LLC | Clinical Medical Laboratory | 20271 Goldenrod Ln Fl 2, Germantown, MD 20876-4064 | 2020-04-28 |
| 1164058525 | Parj Diagnostics LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 211, Owings Mills, MD 21117-3902 | 2020-03-18 |
| 1437785896 | Meta Science LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 213, Owings Mills, MD 21117-3902 | 2020-03-18 |
| 1154956159 | Almat Bio Solutions LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 212, Owings Mills, MD 21117-3902 | 2020-03-10 |
| 1689206112 | Applied Immunogenetics Laboratory | Clinical Medical Laboratory | 11419 Cronridge Dr Ste 17, Owings Mills, MD 21117-6283 | 2020-02-12 |
| 1033749296 | Mprobe Inc | Clinical Medical Laboratory | 9600 Medical Center Dr Ste 300, Rockville, MD 20850-6329 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MONTGOMERY GENERAL HOSPITAL INC.
| 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.