KHC GROUP PC (NPI# 1427385681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427385681 |
| Entity Type | Organization |
| Organization Name | KHC GROUP PC |
| Practice Address |
45 Thomas Johnson Dr Frederick MD 21702-4425 |
| Mailing Address |
5419 Hollywood Blvd C751 Los Angeles CA 90027-3480 |
| Practice Telephone | 3016373350 |
| Practice Fax Number | 3015765221 |
| Mailing Telephone | 3016373350 |
| Mailing Fax Number | 3015765221 |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |
| Authorized Official Name | BILAL R KAAKI (PRESIDENT) |
| Authorized Official Telephone | 3016373350 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 21D1034190 | MD | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770717910 | Khc Group PC | Pathology | 406 Charles St Ste 200, La Plata, MD 20646-3526 | 2009-05-02 |
| Street Address |
45 THOMAS JOHNSON DR |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003813072 | Kimberly Lyn Zeren | Nurse Practitioner | 45 Thomas Johnson Dr, Suite 109, Frederick, MD 21702-4425 | 2005-07-05 |
| 1649538752 | Dawn Christian Sharer | Nurse Practitioner | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4425 | 2012-04-26 |
| 1104102839 | Freedom Home Dialysis, LLC | Clinic/Center | 45 Thomas Johnson Dr, Suite 211, Frederick, MD 21702-4425 | 2011-10-26 |
| 1881987907 | Nicole Harriman | Nurse Practitioner | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4425 | 2011-05-23 |
| 1871893719 | Catherine Theresa Lauritzen | Nurse Practitioner | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4425 | 2010-10-26 |
| 1649435694 | Frederick Dermatology Associates LLC | Dermatology | 45 Thomas Johnson Dr, Frederick, MD 21702-4425 | 2008-07-18 |
| 1881862258 | Camerica S. Boma | Nurse Anesthetist, Certified Registered | 45 Thomas Johnson Dr, Suite 207, Frederick, MD 21702-4425 | 2008-02-19 |
| 1427260579 | Sarah S Lantzy | Internal Medicine | 45 Thomas Johnson Dr, Frederick, MD 21702-4425 | 2007-05-03 |
| 1568587772 | Dental One Associates Frederick PC | Dentist | 45 Thomas Johnson Dr, Suite 105, Frederick, MD 21702-4301 | 2007-03-20 |
| 1356489991 | Lorne Yasbin | Dentist | 45 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2007-02-04 |
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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 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982109351 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 1562 Opossumtown Pike Ste 103, Frederick, MD 21702-4337 | 2018-03-28 |
| 1992160436 | Chesapeake Toxicology Resources, LLC | Clinical Medical Laboratory | 8415 Progress Dr, Suite V, Frederick, MD 21701-4760 | 2015-12-29 |
| 1710300579 | Patriot Medical Laboratories LLC | Clinical Medical Laboratory | 5330 Spectrum Dr Ste I, Frederick, MD 21703-7302 | 2014-01-30 |
| 1427322114 | Apex Diagnostic Services Inc | Clinical Medical Laboratory | 5111 Pegasus Ct, Ste A, Frederick, MD 21704-8318 | 2012-02-28 |
| 1215423181 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 501 W 7th St, Frederick, MD 21701-4586 | 2018-07-03 |
| 1447619754 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 400 W 7th St, Frederick, MD 21701-4506 | 2016-02-15 |
| 1710356829 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 7211 Bank Ct, Frederick, MD 21703-8483 | 2015-09-18 |
| 1124496161 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 3430 Worthington Blvd, Frederick, Frederick, MD 21704-7017 | 2015-09-08 |
| 1457730129 | Laboratory Corporation of America | Clinical Medical Laboratory | 5100 Buckeystown Pike, Suite 186, Frederick, MD 21704-8336 | 2015-05-27 |
| 1750697504 | Zizi Inc | Clinical Medical Laboratory | 71 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2010-08-30 |
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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.