FREDERICK MEMORIAL HOSPITAL INC (NPI# 1215265996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215265996 |
| Entity Type | Organization |
| Organization Name | FREDERICK MEMORIAL HOSPITAL INC |
| Other Organization Name | FMH PEDIATRIC SERVICES |
| Practice Address |
400 W 7th St Frederick MD 21701-4506 |
| Practice Telephone | 2405663300 |
| Practice Fax Number | 2405664872 |
| Mailing Telephone | 2405663300 |
| Mailing Fax Number | 2405664872 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |
| Authorized Official Name | MS. MICHELLE K. MAHAN (SR. VICE PRESIDENT, CFO) |
| Authorized Official Telephone | 2405663355 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDERICK MEMORIAL HOSPITAL INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FMH Pediatric Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922434067 | Frederick Memorial Hospital Inc | Clinic/Center | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-09-20 |
| 1285069427 | Frederick Memorial Hospital Inc | Dietitian, Registered | 5500 Buckeystown Pike, Frederick, MD 21703-8331 | 2013-09-06 |
| 1730525775 | Frederick Memorial Hospital Inc | Physical Therapist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-05-17 |
| 1316290422 | Frederick Memorial Hospital Inc | Surgery | 7211 Bank Ct, Frederick, MD 21703-8483 | 2012-10-26 |
| 1083998348 | Frederick Memorial Hospital Inc | Orthopaedic Surgery | 52 Thomas Johnson Dr, Frederick, MD 21702-4501 | 2011-10-05 |
| 1477866127 | Frederick Memorial Hospital Inc | Urology | 900 Toll House Ave, Frederick, MD 21701-4547 | 2010-07-23 |
| 1568781821 | Frederick Memorial Hospital Inc | Pain Medicine | 516 Trail Ave, Frederick, MD 21701-4942 | 2010-05-26 |
| 1437389830 | Frederick Memorial Hospital Inc | Surgery | 1564 Opossumtown Pike, Frederick, MD 21702-4359 | 2009-07-20 |
| 1326299835 | Frederick Memorial Hospital Inc | Emergency Medicine | 400 W 7th St, Frederick, MD 21701-4506 | 2008-10-02 |
| 1790950871 | Frederick Memorial Hospital Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 501 W 7th St, Suite D, Frederick, MD 21701-4586 | 2008-04-29 |
| Street Address |
400 W 7TH ST |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165527 | Frederick Health Hospital Inc | Clinic/Center | 400 W 7th St, Frederick, MD 21701-4506 | 2005-06-23 |
| 1356949788 | Marianne L. Hiles | Clinical Nurse Specialist | 400 W 7th St, Frederick, MD 21701-4506 | 2020-10-16 |
| 1689271660 | Allison June Wadding | Nurse Anesthetist, Certified Registered | 400 W 7th St, Frederick, MD 21701-4506 | 2020-10-03 |
| 1184235681 | Sarah Queena D. Oliveira | Registered Nurse | 400 W 7th St, Frederick, MD 21701-4506 | 2020-08-10 |
| 1407480361 | Frederick Health Hospital Inc | Pharmacy | 400 W 7th St, Frederick, MD 21701-4506 | 2020-02-28 |
| 1053942284 | Roy Degrange Jr. | Registered Nurse | 400 W 7th St, Frederick, MD 21701-4506 | 2020-01-27 |
| 1326684051 | Fiona Dias | Social Worker | 400 W 7th St, Frederick, MD 21701-4506 | 2019-11-18 |
| 1891330908 | Heather Ashley Hayes | Nurse Practitioner | 400 W 7th St, Frederick, MD 21701-4506 | 2019-11-12 |
| 1528619376 | Margaret M Mcneill | Clinical Nurse Specialist | 400 W 7th St, Frederick, MD 21701-4506 | 2019-09-24 |
| 1477104560 | Luisa Buntin | Nurse Practitioner | 400 W 7th St, Frederick, MD 21701-4506 | 2019-09-20 |
| Find all providers in the same location | ||||
| 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 | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801812201 | Margaret Mary Brewinski Isaacs | Pediatrics | 6707 Democracy Blvd, Suite 400, Bethesda, MD 20817-1129 | 2006-07-15 |
| 1669417267 | Keyvan Rafei | Pediatrics | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2006-06-18 |
| 1194771378 | Martha W Stevens | Pediatrics | 1800 Orleans St # G-1509, Hospital Based @ Jhh-bloomberg Children's Center, Baltimore, MD 21287-0010 | 2006-05-26 |
| 1013967454 | Kimmie L Cass | Pediatrics | 1307 Cranesbill Ct, Apt. 101, Belcamp, MD 21017-2415 | 2006-05-10 |
| 1952359101 | Veena R Kumar | Pediatrics | 7710 Woodmont Ave Apt 411, Bethesda, MD 20814-6064 | 2006-05-04 |
| 1730786104 | Joseph William Russo | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-07 |
| 1528690864 | Alia Sunderji | Pediatrics | 615 N Wolfe St, Baltimore, MD 21205-2103 | 2020-02-05 |
| 1669947180 | Johns Hopkins University | Pediatrics | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-10-11 |
| 1841652070 | Amita Ghuman | Pediatrics | 4940 Eastern Ave Fl 4, Baltimore, MD 21224-2735 | 2016-03-26 |
| 1912167784 | Elizabeth Quaal Hines | Pediatrics | 650 W Lombard St, Baltimore, MD 21201-1513 | 2008-06-14 |
| Find all providers with the same taxonomy | ||||
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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.