FREDERICK HEALTH MEDICAL GROUP LLC


Address: 1562 Opossumtown Pike Ste 301, Frederick, MD 21702-4337
Phone: 3016634774

FREDERICK HEALTH MEDICAL GROUP LLC (NPI# 1578831145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578831145
Entity Type Organization
Organization Name FREDERICK HEALTH MEDICAL GROUP LLC
Other Organization Name FREDERICK UROLOGY SPECIALISTS
Practice Address 1562 Opossumtown Pike Ste 301
Frederick
MD 21702-4337
Mailing Address 900 Toll House Ave
Frederick
MD 21701-4547
Practice Telephone 3016634774
Practice Fax Number 3016951364
Mailing Telephone 3016634774
Mailing Fax Number 3016951364
Enumeration Date 2011-12-09
Last Update Date 2020-01-24
Authorized Official Name MICHELLE K MAHAN (SR. VP AND CFO)
Authorized Official Telephone 2405663355
Is Organization Subpart Y
Parent Organization Name FREDERICK HEALTH MEDICAL GROUP LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Frederick Health Medical Group Doing Business As Name - Organization
Frederick Urology Specialists Doing Business As Name - Organization
Monocacy Health Partners LLC Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063780633 Frederick Health Medical Group LLC Internal Medicine 1562 Opossumtown Pike Ste 102, Frederick, MD 21702-4337 2011-12-09
1851939052 Frederick Health Medical Group LLC Internal Medicine 1562 Opossumtown Pike Ste 103, Frederick, MD 21702-4337 2019-12-18
1598317893 Frederick Health Medical Group LLC Social Worker 501 W 7th St, Frederick, MD 21701-4586 2019-07-16
1841782836 Frederick Health Medical Group LLC Clinic/Center 501 W 7th St, Frederick, MD 21701-4586 2018-06-05
1659899979 Frederick Health Medical Group LLC Clinic/Center 1562 Opossumtown Pike, Frederick, MD 21702-4337 2017-09-07
1285156091 Frederick Health Medical Group LLC Nurse Practitioner 501 W 7th St, Frederick, MD 21701-4586 2017-07-13
1073973012 Frederick Health Medical Group LLC Dentist 516 Trail Ave, Frederick, MD 21701-4942 2016-03-03
1780092916 Frederick Health Medical Group LLC Clinic/Center 3430 Worthington Blvd, Frederick, MD 21704-7017 2014-07-31
1720496573 Frederick Health Medical Group LLC Internal Medicine 7211 Bank Ct, Frederick, MD 21703-8483 2014-07-24
1457793424 Frederick Health Medical Group LLC Psychiatry & Neurology 400 W 7th St, Frederick, MD 21701-4506 2013-07-19

Office Location

Street Address 1562 OPOSSUMTOWN PIKE STE 301
City FREDERICK
State MD
Zip Code 21702-4337

Providers in the same zip code

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 Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174750970 Mohammed Haseebuddin Urology 184 Thomas Johnson Dr Ste 201, Frederick, MD 21702-4562 2009-06-18
1588708267 Jared R. Berkowitz Urology 1562 Opossumtown Pike Fl 3, Frederick, MD 21702 2007-02-16
1760473599 Robert D Crouch, Md, Pa Urology 900 Toll House Ave, Frederick, MD 21701-4547 2005-11-01
1851393896 Mark Xavier Coyne Urology 186 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4305 2005-08-10
1972077261 Family Urology Associates Urology 184 Thomas Johnson Dr Ste 201, Frederick, MD 21702-4562 2019-01-19
1477866127 Frederick Memorial Hospital Inc Urology 900 Toll House Ave, Frederick, MD 21701-4547 2010-07-23
1023293826 Mohammed M Mohiuddin Urology 801 Toll House Ave, Bldg B2, Frederick, MD 21701 2007-12-31
1871781435 Bert Williams M.d. LLC Urology 97 Thomas Johnson Dr, Suite 102, Frederick, MD 21702-4379 2007-10-09
1225258205 Mark X Coyne Md Pa Urology 186 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4305 2007-05-01
1528113040 Cynthia J. Moorman, M.d., P.a. Urology 77 Thomas Johnson Dr, Suite K, Frederick, MD 21702-4893 2007-01-24
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Competitor

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City FREDERICK
Zip Code 21702

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Dataset Information

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.

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