GO WEST MEDICAL DENTAL SERVICES LLC (NPI# 1174817811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174817811 |
| Entity Type | Organization |
| Organization Name | GO WEST MEDICAL DENTAL SERVICES LLC |
| Practice Address |
110 Baughmans Ln Suite 140 Frederick MD 21702-4059 |
| Mailing Address |
Po Box 1149 Frederick MD 21702-0149 |
| Practice Telephone | 2402151138 |
| Practice Fax Number | 2402151140 |
| Enumeration Date | 2011-05-29 |
| Last Update Date | 2011-05-29 |
| Authorized Official Name | DR. JULIO J MENOCAL (OWNER) |
| Authorized Official Telephone | 2402151138 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
D31912 | MD | Ambulatory Health Care Facilities |
| Street Address |
110 BAUGHMANS LN SUITE 140 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164492401 | Julio J Menocal | Family Medicine | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4059 | 2006-01-26 |
| 1467902726 | Privia Medical Group, LLC | Internal Medicine | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4059 | 2016-10-11 |
| 1326491291 | Usman Waheed, M.d., P.a. | Surgery | 110 Baughmans Ln, Frederick, MD 21702-4059 | 2016-07-15 |
| 1508225335 | Care Medica Pharmacy LLC | Pharmacy | 110 Baughmans Ln, First Floor, Frederick, MD 21702-4059 | 2016-02-22 |
| 1982976056 | Frederick Urology Associates Pa | Specialist | 110 Baughmans Ln, Frederick, MD 21702-4059 | 2012-02-03 |
| 1962783910 | Rafael Acosta, Dds, PC | Dentist | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4059 | 2011-09-05 |
| 1538453279 | Rafael Anthony Acosta | Dentist | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4059 | 2011-05-29 |
| 1083918619 | Adams Professional Pharmacy LLC | Pharmacy | 110 Baughmans Ln, Fl 1, Frederick, MD 21702-4059 | 2010-12-21 |
| 1588974463 | Medoville Inc. | Durable Medical Equipment & Medical Supplies | 110 Baughmans Ln, Suite 106, Frederick, MD 21702-4059 | 2010-10-13 |
| 1407184443 | Good Faith Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 110 Baughmans Ln, Suite 201, Frederick, MD 21702-4059 | 2009-12-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1740847201 | Swiftcare Family Clinic and Wellness Inc | Clinic/Center | 1841/1843 Brightseat Road, Landover, MD 20785-2078 | 2019-05-21 |
| 1285102764 | Black Rock Integrative Medicine | Clinic/Center | 17666 Technology Blvd, Hagerstown, MD 21740-2074 | 2018-11-02 |
| 1639664683 | The Heard Group, LLC | Clinic/Center | 6284 Hard Bargain Cir, Indian Head, MD 20640 | 2018-06-22 |
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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.