MEDHUB HEALTHCARE INC (NPI# 1619586807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619586807 |
| Entity Type | Organization |
| Organization Name | MEDHUB HEALTHCARE INC |
| Practice Address |
4070 Atterbury Pl Frederick MD 21704-7401 |
| Mailing Address |
5257 Buckeystown Pike # 257 Frederick MD 21704-7535 |
| Practice Telephone | 2404099611 |
| Mailing Telephone | 2404099611 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | DR. DANAH JACK (PRESIDENT) |
| Authorized Official Telephone | 2404099611 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| Y | 163W00000X | Registered Nurse | Nursing Service Providers |
| Street Address |
4070 ATTERBURY PL |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508335175 | Metro Health and Rehab LLC | Occupational Therapy Assistant | 4070 Atterbury Pl, Frederick, MD 21704-7401 | 2018-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769765 | Regine Faucher | Registered Nurse | 5611 Rockledge Ct, Frederick, MD 21703-9493 | 2020-10-27 |
| 1700493160 | Takoya Leggett | Registered Nurse | 2116 Artillery Rd, Frederick, MD 21702-3558 | 2020-09-29 |
| 1760001721 | Deborah Rodriguez-gummo | Registered Nurse | 4009 Carriage Hill Dr, Frederick, MD 21704-7349 | 2020-04-10 |
| 1871132068 | Care for Me Home Care Service | Registered Nurse | 216 Shannonbrook Ln, Frederick, MD 21702-3637 | 2020-01-05 |
| 1104467414 | Khadeja Qubla Ibn Baidoo | Registered Nurse | 4843 Marsden Pl, Frederick, MD 21703-6822 | 2019-10-08 |
| 1356982888 | Rebecca Rosetta Collins | Registered Nurse | 1133 Frontline Dr, Frederick, MD 21703-3906 | 2019-10-06 |
| 1437718699 | Madeline El-ghoul | Registered Nurse | 180 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4489 | 2019-06-11 |
| 1457883175 | Trisha Park | Registered Nurse | 9108 Harlequin Cir, Frederick, CO 80504-9753 | 2017-03-31 |
| 1780139063 | Dustin Berg | Registered Nurse | 8201 Raspberry Dr, Frederick, CO 80504-6772 | 2016-08-17 |
| 1376923672 | Susan Kirch | Registered Nurse | 151 Willowdale Dr, Apt 32, Frederick, MD 21702-1171 | 2015-06-02 |
| Find all providers in FREDERICK | ||||
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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.