MERITUS MEDICAL CENTER INC (NPI# 1396980405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396980405 |
| Entity Type | Organization |
| Organization Name | MERITUS MEDICAL CENTER INC |
| Other Organization Name | MERITUS PHYSICIANS-CENTER FOR ADVANCED HEALING & HYPERBARIC MEDICINE |
| Practice Address |
11116 Medical Campus Rd Hagerstown MD 21742-6710 |
| Practice Telephone | 2403139580 |
| Practice Fax Number | 2403139581 |
| Mailing Telephone | 3017908102 |
| Mailing Fax Number | 3017979480 |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2019-08-09 |
| Authorized Official Name | MR. THOMAS CHAN (CFO) |
| Authorized Official Telephone | 3017908103 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERITUS MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 21-012 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 949701305 | 05 | |
| MD | MEDICARE PART B | K025 | 01 |
| Other Name | Type Code |
|---|---|
| Meritus Physicians-Center for Advanced Healing & Hyperbaric Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799008 | Meritus Medical Center Inc | Clinic/Center | 18714 N Village, Hagerstown, MD 21742-2454 | 2020-08-03 |
| 1205176393 | Meritus Medical Center Inc | Nurse Practitioner | 11116 Medical Campus Rd, Room 2999, Hagerstown, MD 21742-6710 | 2013-02-26 |
| 1649518879 | Meritus Medical Center Inc | Clinic/Center | 1300 Marshall St, Hagerstown, MD 21740-3509 | 2013-01-23 |
| 1558609784 | Meritus Medical Center Inc | Clinic/Center | 1101 S Potomac St, Hagerstown, MD 21740-7322 | 2013-01-23 |
| 1184989683 | Meritus Medical Center Inc | Clinic/Center | 324 E Antietam St, Hagerstown, MD 21740-5754 | 2012-07-10 |
| 1548559248 | Meritus Medical Center Inc | Internal Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2011-04-04 |
| 1679877559 | Meritus Medical Center Inc | Nurse Practitioner | 11110 Medical Campus Rd, Suite 243a, Hagerstown, MD 21742-6700 | 2011-01-06 |
| 1558670521 | Meritus Medical Center Inc | Dietitian, Registered | 1110 Professional Ct, Suite 201, Hagerstown, MD 21740-5826 | 2010-09-24 |
| 1275849242 | Meritus Medical Center Inc | Psychiatry & Neurology | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2010-08-27 |
| 1659517936 | Meritus Medical Center Inc | Psychiatry & Neurology | 11116 Medical Campus Rd, 1west, Hagerstown, MD 21742-6710 | 2008-12-17 |
| Street Address |
11116 MEDICAL CAMPUS RD |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750388187 | Gary Weidman | Social Worker | 11116 Medical Campus Rd, Suite 2989, Hagerstown, MD 21742-6710 | 2005-06-30 |
| 1487279758 | Tina Kushnir | Registered Nurse | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2020-06-12 |
| 1700413515 | Mchaley Hoffman | Nurse Practitioner | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2020-03-24 |
| 1659902609 | Victoriya Eggen | Physician Assistant | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2020-01-29 |
| 1194280032 | Jill N Wilkins | Emergency Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2019-02-05 |
| 1770055956 | Lauren Wilkins | Physical Therapy Assistant | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2018-12-27 |
| 1598230096 | Judah Labovitz | Nurse Anesthetist, Certified Registered | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2018-10-10 |
| 1225524036 | Ashley Marie Pondo | Nurse Practitioner | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2018-07-04 |
| 1952812760 | Melissa M. Kershner | Nurse Practitioner | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2017-10-19 |
| 1417476409 | Christella Ajong Mbeboh | Family Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2017-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164707980 | Medexpress Urgent Care, PC - Maryland | Emergency Medicine | 1741 Dual Hwy Ste A, Hagerstown, MD 21740-6626 | 2011-10-12 |
| 1497976112 | Noah Lamond Keller | Emergency Medicine | Washington County Hospital, 251 East Antietam Street, Hagerstown, MD 21740-5771 | 2007-05-01 |
| 1730131129 | Lucille Folino | Emergency Medicine | 13620 Crayton Blvd, Hagerstown, MD 21742-2335 | 2006-05-16 |
| 1992708515 | Nikhil K. Mehta | Emergency Medicine | 251 E Antietam St, Hagerstown, MD 21740-5724 | 2005-05-27 |
| 1194280032 | Jill N Wilkins | Emergency Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2019-02-05 |
| 1699209536 | Joseph Gibney | Emergency Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2017-04-18 |
| 1467836346 | Christopher Bjork | Emergency Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2015-07-10 |
| 1407242043 | Bryn Dekosky | Emergency Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742 | 2015-04-10 |
| 1740522960 | Joshua Travis Mcclain | Emergency Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2013-03-26 |
| 1780942524 | Zachary Smith | Emergency Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2012-04-30 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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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.