CHIRO CARE OF FREDERICK, LLC (NPI# 1376711796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376711796 |
| Entity Type | Organization |
| Organization Name | CHIRO CARE OF FREDERICK, LLC |
| Practice Address |
1050 Key Pkwy Suite 202 Frederick MD 21702-4056 |
| Practice Telephone | 3018462273 |
| Practice Fax Number | 3016202273 |
| Mailing Telephone | 3018462273 |
| Mailing Fax Number | 3016202273 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2011-11-09 |
| Authorized Official Name | DARBY M. BOLT (PRESIDENT) |
| Authorized Official Telephone | 2403575590 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
SO1649 | MD | Ambulatory Health Care Facilities |
| Street Address |
1050 KEY PKWY SUITE 202 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144333972 | Thomas D Caruso | Neuromusculoskeletal Medicine, Sports Medicine | 1050 Key Pkwy, Suite 103, Frederick, MD 21702-4053 | 2006-08-16 |
| 1104372325 | Grishma Jayesh Patel | Physician Assistant | 1050 Key Pkwy, Ste 103, Frederick, MD 21702-4053 | 2016-08-28 |
| 1730521485 | Lemuel Vales Araneta | Physical Therapist | 1050 Key Pkwy, Suite 201, Frederick, MD 21702-4053 | 2013-07-23 |
| 1932470283 | Idal Roscin Tchoundjo | Nurse Practitioner | 1050 Key Pkwy, Suite 201, Frederick, MD 21702-4053 | 2012-01-18 |
| 1740565506 | Universal Healthcare Specialists, LLC | General Practice | 1050 Key Pkwy, Suite 201, Frederick, MD 21702-4053 | 2011-10-12 |
| 1851690515 | American Spine Surgery Center LLC | Clinic/Center | 1050 Key Pkwy, Ste 104, Frederick, MD 21702-4053 | 2011-03-21 |
| 1871807818 | Matthew S. Roh | Physical Medicine & Rehabilitation | 1050 Key Pkwy, Suite 103, Frederick, MD 21702-4053 | 2010-08-02 |
| 1538481601 | Lindsay S. Gonzalez | Physician Assistant | 1050 Key Pkwy, Suite 103, Frederick, MD 21702-4053 | 2010-02-17 |
| 1447433685 | Mark Fedorczyk | Chiropractor | 1050 Key Pkwy, Suite 202, Frederick, MD 21702-4056 | 2007-12-11 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194270611 | Masters Specilties LLC | Clinic/Center | 1100 W Patrick St Ste A, Frederick, MD 21703-3903 | 2016-08-25 |
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| 1205457124 | Mark Johnson, Md, PC | Clinic/Center | 10801 Lockwood Dr Ste 285, Silver Spring, MD 20901-1556 | 2020-05-01 |
| 1548894314 | Isinc Healthcare Services, LLC | Clinic/Center | 229 Washington Blvd S, Laurel, MD 20707-4615 | 2020-03-02 |
| 1821648312 | Capital Multi Health Group, Inc | Clinic/Center | 2411 Crofton Ln Ste 4a, Crofton, MD 21114-1337 | 2019-09-17 |
| 1396395166 | Farr Out Eyecare LLC | Clinic/Center | 820 Market St, Westminster, MD 21157-6114 | 2019-09-13 |
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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.