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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
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 |
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 |
Street Address |
1562 OPOSSUMTOWN PIKE STE 301 |
City | FREDERICK |
State | MD |
Zip Code | 21702-4337 |
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 | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
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. |
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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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.