NEWBRIDGE SURGERY CENTER AT FREDERICK (NPI# 1508199720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508199720 |
Entity Type | Organization |
Organization Name | NEWBRIDGE SURGERY CENTER AT FREDERICK |
Practice Address |
196 Thomas Johnson Dr Suite 215 Frederick MD 21702-4397 |
Practice Telephone | 3016689988 |
Practice Fax Number | 3016689977 |
Mailing Telephone | 3016689988 |
Mailing Fax Number | 3015768064 |
Enumeration Date | 2009-09-08 |
Last Update Date | 2020-10-15 |
Authorized Official Name | MRUTHYUNJAYA GONCHIGAR (OWNER/PHYSICIAN) |
Authorized Official Telephone | 3016689988 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
196 THOMAS JOHNSON DR SUITE 215 |
City | FREDERICK |
State | MD |
Zip Code | 21702-4397 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841283579 | Sallyann Mccarthy | Registered Nurse | 196 Thomas Johnson Dr, Suite 120-b, Frederick, MD 21702-4397 | 2005-08-29 |
1962036624 | Cleopatra Kulasi | Family Medicine | 196 Thomas Johnson Dr, Frederick, MD 21702-4397 | 2020-03-02 |
1922510056 | Paola Haros | Physician Assistant | 196 Thomas Johnson Dr, Frederick, MD 21702-4397 | 2017-10-30 |
1912441890 | Heather Wilber | Physician Assistant | 196 Thomas Johnson Dr, Suite 135, Frederick, MD 21702-4397 | 2016-12-12 |
1952858771 | Tania Thornton | Nurse Practitioner | 196 Thomas Johnson Dr, Suite 215, Frederick, MD 21702-4397 | 2016-09-09 |
1891150744 | Dental Associates of Frederick, LLC | Dentist | 196 Thomas Johnson Dr, Suite 235, Frederick, MD 21702-4397 | 2015-12-18 |
1194119818 | Corey Amber Ward | Nurse Practitioner | 196 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4397 | 2015-03-19 |
1841698925 | Alexander King | Acupuncturist | 196 Thomas Johnson Dr, 125, Frederick, MD 21702-4397 | 2014-12-05 |
1104237858 | Dr. E.j. Stringer, D.m.d., P.a. | Dentist | 196 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4397 | 2014-05-15 |
1720326002 | Dr. Eunjoo Song Stringer Dmd | Dentist | 196 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4397 | 2013-01-22 |
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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 | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821421256 | Monocacy Surgery Center LLC | Clinic/Center | 4991 New Design Rd, Frederick, MD 21703-7113 | 2013-08-21 |
1871529180 | Capital Area Surgery Center, LLC | Clinic/Center | 141 Thomas Johnson Dr Ste 190, Frederick, MD 21702-4509 | 2006-06-26 |
1710932207 | Center for Universal Surgery, PC | Clinic/Center | 604 Solarex Ct., Suite 205, Frederick, MD 21703-8655 | 2006-05-23 |
1730142415 | Central Maryland Surgical Center | Clinic/Center | 197 Thomas Johnson Dr, Frederick, MD 21702-4314 | 2006-04-11 |
1710952841 | Andochick Surgical Center LLC | Clinic/Center | 81 Thomas Johnson Court, Suite B, Frederick, MD 21702 | 2006-02-22 |
1376542076 | Frederick Surgical Center, LLC | Clinic/Center | 45 Thomas Johnson Drive, Suite 207, Frederick, MD 21702 | 2005-07-15 |
1639669716 | Advanced Pain Management,llc | Clinic/Center | 1050 Key Pkwy Ste 104, Frederick, MD 21702 | 2018-05-15 |
1902220627 | Frederick Foot & Ankle Asc LLC | Clinic/Center | 141 Thomas Johnson Dr, Suite 170, Frederick, MD 21702-4502 | 2014-02-17 |
1265709778 | Amber Meadows Surgery Center, LLC. | Clinic/Center | 186 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4305 | 2011-11-29 |
1851690515 | American Spine Surgery Center LLC | Clinic/Center | 1050 Key Pkwy, Ste 104, Frederick, MD 21702-4053 | 2011-03-21 |
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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.