FREDERICK COUNTY HEPATITIS CLINIC, INC. (NPI# 1184764268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184764268 |
| Entity Type | Organization |
| Organization Name | FREDERICK COUNTY HEPATITIS CLINIC, INC. |
| Practice Address |
350 Montevue Ln Frederick County Hepatitis Clinic Frederick MD 21702-8214 |
| Practice Telephone | 3006313343 |
| Practice Fax Number | 3006313387 |
| Mailing Telephone | 3006313343 |
| Mailing Fax Number | 3006313387 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CONSTANCE M. CALLAHAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3016003343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 0102546 | 05 | |
| MD | CAREFIRST BCBS | LS96 | 01 |
| MD | PRIORITY PARTNERS JHHC | 30222 | 01 |
| Street Address |
350 MONTEVUE LN FREDERICK COUNTY HEPATITIS CLINIC |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-8214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083603914 | Frederick County Health Department | Public Health or Welfare | 350 Montevue Ln, Frederick, MD 21702-8214 | 2005-10-13 |
| 1821636556 | Melissa Rios | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-12-12 |
| 1144872375 | Frederick County Health Department | Case Management | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-07-09 |
| 1053963280 | Frederick County Health Department | Public Health or Welfare | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-07-09 |
| 1508324914 | Hanna Lee | Social Worker | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-03-05 |
| 1104390962 | Stacy Benner | Physical Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-01-15 |
| 1487127247 | Crystal Marie Ciccarelli | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-01-04 |
| 1982177994 | Mary Michele Obenland | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-01-03 |
| 1184196198 | Catherine Evich Johnson | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-01-02 |
| 1427520436 | Karen Cocklin Tushek | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-01-02 |
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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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556077 | Maryland Treatment Centers Inc | Clinic/Center | 7281 Marcies Choice Ln Fl 2, Frederick, MD 21704-8329 | 2020-10-23 |
| 1740670413 | Hauser Health | Clinic/Center | 4802 Old National Pike, Frederick, MD 21702-3574 | 2015-02-02 |
| 1548355613 | Philip J Mcgann Md,pa | Clinic/Center | 1003 W 7th St, #400, Frederick, MD 21701-8532 | 2006-10-04 |
| 1538165527 | Frederick Health Hospital Inc | Clinic/Center | 400 W 7th St, Frederick, MD 21701-4506 | 2005-06-23 |
| 1215585252 | Ideal Option, Pllc | Clinic/Center | 201 Thomas Johnson Dr, Frederick, MD 21702-5166 | 2019-09-03 |
| 1568010411 | Ideal Telemedicine Services LLC | Clinic/Center | 201 Thomas Johnson Dr, Frederick, MD 21702-5166 | 2019-09-03 |
| 1609248087 | Tms Neurohealth Centers, Frederick, LLC | Clinic/Center | 1003 W 7th St, Suite 500, Frederick, MD 21701-4106 | 2015-10-26 |
| 1154799559 | Advanced Behavioral Health, Inc. | Clinic/Center | 1003 W 7th St Ste 500, Frederick, MD 21701-8512 | 2015-09-02 |
| 1083846174 | Nils W. Olson, Dds, Pa | Clinic/Center | 150 Baughmans Ln, Frederick, MD 21702-4004 | 2009-08-22 |
| 1013199298 | Lourdes Brigida Hunter | Clinic/Center | 201 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-5166 | 2007-11-29 |
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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.