FREDERICK MEMORIAL HOSPITAL INC (NPI# 1316290422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316290422 |
| Entity Type | Organization |
| Organization Name | FREDERICK MEMORIAL HOSPITAL INC |
| Other Organization Name | SURGICAL SPECIALISTS |
| Practice Address |
7211 Bank Ct Frederick MD 21703-8483 |
| Practice Telephone | 2402151461 |
| Practice Fax Number | 2402151463 |
| Mailing Telephone | 2402151461 |
| Mailing Fax Number | 2402151463 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |
| Authorized Official Name | MS. MICHELLE K. MAHAN (SR. VP AND 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 | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Surgical Specialists | 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 |
| 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 |
| 1215265996 | Frederick Memorial Hospital Inc | Pediatrics | 400 W 7th St, Frederick, MD 21701-4506 | 2009-11-18 |
| 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 |
7211 BANK CT |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703-8483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749834 | Melissa M Asuncion X | Family Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2005-06-13 |
| 1396275244 | Karl Benjamin Genovese | Family Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2017-06-14 |
| 1225570658 | Marcia Wolfinger | Counselor | 7211 Bank Ct, Frederick, MD 21703-8483 | 2016-11-16 |
| 1295288546 | Joanna Eaton | Dietitian, Registered | 7211 Bank Ct, Suite 240, Frederick, MD 21703-8483 | 2016-08-03 |
| 1710356829 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 7211 Bank Ct, Frederick, MD 21703-8483 | 2015-09-18 |
| 1871977793 | Pratik Shah | Internal Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2015-07-10 |
| 1114305224 | Katherine N Wyatt Fields | Dietitian, Registered | 7211 Bank Ct, Suite 240, Frederick, MD 21703-8483 | 2015-05-08 |
| 1720496573 | Frederick Health Medical Group LLC | Internal Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2014-07-24 |
| 1275971178 | Hassan Madani | Family Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2013-06-13 |
| 1780020735 | Frederick Health Hospital Inc | Occupational Therapist | 7211 Bank Ct, Frederick, MD 21703-8483 | 2013-05-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| Find all providers in zip 21703 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750520888 | Jasmine Malcolm | Surgery | 174 Thomas Johnson Dr Ste 100, Frederick, MD 21702-4569 | 2009-02-12 |
| 1629271374 | Christine Kathryn Harris | Surgery | 7211 Bank Ct Ste 110, Frederick, MD 21703-8479 | 2007-06-08 |
| 1003877515 | Jesus Esquivel | Surgery | 7211 Bank Ct Ste 200, Frederick, MD 21703-8481 | 2006-04-01 |
| 1477522472 | Kelly Ann Shine | Surgery | 74 Thomas Johnson Dr, Frederick, MD 21702-4300 | 2006-03-14 |
| 1871571976 | Leonard Surgical Care Associates, LLC | Surgery | 501 W Seventh St, Suite D, Frederick, MD 21701-4507 | 2006-01-09 |
| 1518593797 | Phoenix Surgical Care LLC | Surgery | 174 Thomas Johnson Dr Ste 100, Frederick, MD 21702-4569 | 2020-03-19 |
| 1326491291 | Usman Waheed, M.d., P.a. | Surgery | 110 Baughmans Ln, Frederick, MD 21702-4059 | 2016-07-15 |
| 1801235015 | Frederick Health Medical Group LLC | Surgery | 501 W 7th St, Frederick, MD 21701-4586 | 2013-06-20 |
| 1619314291 | Michael D. Winton | Surgery | 501 W 7th St, Frederick, MD 21701-4586 | 2013-05-23 |
| 1770850547 | Frederick Health Medical Group LLC | Surgery | 7211 Bank Ct, Frederick, MD 21703-8483 | 2011-11-22 |
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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.