UPMC WESTERN MARYLAND CORPORATION (NPI# 1639206410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639206410 |
| Entity Type | Organization |
| Organization Name | UPMC WESTERN MARYLAND CORPORATION |
| Other Organization Name | FBMC |
| Practice Address |
10701 New Georges Creek Rd Sw Frostburg MD 21532-1457 |
| Mailing Address |
Po Box 539 Cumberland MD 21501-0539 |
| Practice Telephone | 3016893229 |
| Practice Fax Number | 3017231480 |
| Mailing Telephone | 2409648343 |
| Mailing Fax Number | 2409648338 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | MICHELE RENEE MARTZ (SR. VP. CFO) |
| Authorized Official Telephone | 2409647376 |
| Is Organization Subpart | Y |
| Parent Organization Name | UPMC WESTERN MARYLAND CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST - X-RAY | 62018801 KFA5SA | 01 |
| DC | BLUE CHOICE | H857 0001 | 01 |
| MD | CAREFIRST - LAB | W474SA 61636304 | 01 |
| Other Name | Type Code |
|---|---|
| FBMC | Doing Business As Name - Organization |
| UPMC Western Maryland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1578898631 | Upmc Western Maryland Corporation | Technician, Pathology | 12400 Willowbrook Rd, Cumberland, MD 21502-2559 | 2009-10-07 |
| 1215558416 | Upmc Western Maryland Corporation | Clinic/Center | 45 Hunt Club Dr, Ridgeley, WV 26753-7567 | 2020-04-29 |
| 1790042950 | Upmc Western Maryland Corporation | Technician, Pathology | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2012-04-12 |
| 1083936629 | Upmc Western Maryland Corporation | Clinic/Center | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2010-02-24 |
| 1902926686 | Upmc Western Maryland Corporation | Clinic/Center | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2007-03-29 |
| 1285779884 | Upmc Western Maryland Corporation | Counselor | 12502 Willowbrook Rd, Suite 380, Cumberland, MD 21502-6393 | 2007-02-21 |
| 1013051119 | Upmc Western Maryland Corporation | Physiological Laboratory | 625 Kent Ave, Cumberland, MD 21502-3794 | 2007-02-20 |
| 1184769952 | Upmc Western Maryland Corporation | Dietetic Technician, Registered | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2007-02-20 |
| 1174667802 | Upmc Western Maryland Corporation | Clinic/Center | 12502 Willowbrook Rd, Suite 250, Cumberland, MD 21502-6491 | 2007-02-16 |
| Street Address |
10701 NEW GEORGES CREEK RD SW |
| City | FROSTBURG |
| State | MD |
| Zip Code | 21532-1457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730164492 | Isagani D Laurencio | General Practice | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2005-12-14 |
| 1669876678 | Kathleen R Gibbons | Physician Assistant | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2014-10-20 |
| 1770733248 | Nicole R Bonner | Nurse Practitioner | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2008-09-22 |
| 1194858266 | Susan M Mcmullen | Nurse Practitioner | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2007-03-14 |
| 1952495079 | Upmc Western Maryland Corporation | Clinic/Center | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2006-10-03 |
| 1518071950 | Heidi J Stout | Physician Assistant | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2006-08-19 |
| 1811957202 | Jennifer L Barlow | Nurse Practitioner | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740709732 | Kennedy Alxya Logsdon | Specialist/Technologist | 100 Dr. Gasmick Lane, Frostburg, MD 21532 | 2017-09-12 |
| 1699130419 | Jessica Bittinger | Occupational Therapy Assistant | 1 Kaylor Circle, Frostburg, MD 21532 | 2015-12-21 |
| 1689013138 | Kevin R Simonson | Psychologist | 101 Braddock Rd Frostburg State University, 101 Sand Spring Hall, Frostburg, MD 21532 | 2013-06-18 |
| 1114266897 | Tara Renee Robison | Physical Therapy Assistant | One Kaylor Circle, Frostburg, MD 21532 | 2013-01-31 |
| 1821133703 | Diane D Romaine | Dentist | 151 Bishop Murphy Drive, Frostburg, MD 21532 | 2007-02-20 |
| 1932669231 | Jennifer Lou Anto | Nurse Practitioner | 101 Braddock Rd, Frostburg, MD 21532 | 2019-03-22 |
| 1659610186 | Shanalyn Michelle Reighard | Physical Therapy Assistant | One Kaylor Circle, Frostburg, MD 21532 | 2013-02-04 |
| 1639407133 | Suanne Marie Lewis | Psychologist | 420 Crestview Dr, Frostburg, MD 21532-1100 | 2009-11-23 |
| 1265499016 | Western Maryland Health System Corporation | Skilled Nursing Facility | 48 Tarn Ter, Frostburg, MD 21532-1217 | 2006-04-26 |
| 1669545810 | Dean Andrew Mulcaster | Physical Therapy Assistant | 48 Tarn Ter, Frostburg, MD 21532-1217 | 2006-11-16 |
| Find all providers in zip 21532 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061869 | All-stat Portable Md, LLC | Physiological Laboratory | 12501 Prosperity Dr Ste 455, Silver Spring, MD 20904-1689 | 2020-10-19 |
| 1265043897 | Blackstone Medical Services LLC | Physiological Laboratory | 4000 Blackburn Ln Ste 210, Burtonsville, MD 20866-6128 | 2020-08-17 |
| 1285131565 | American Diagnostics Services LLC | Physiological Laboratory | 2505 Lord Baltimore Dr Ste E, Windsor Mill, MD 21244-2673 | 2018-04-12 |
| 1972966075 | Sunbloom Tech Inc | Physiological Laboratory | 3266 W Springs Dr, Ellicott City, MD 21043-3270 | 2016-04-05 |
| 1316181274 | Rmi Medical Solutions LLC | Physiological Laboratory | 3531 Anderson Ln, Jarrettsville, MD 21084-1512 | 2009-04-22 |
| 1487843868 | Cardiovascular Imaging, Inc. | Physiological Laboratory | 5530 Wisconsin Ave Ste 915, Chevy Chase, MD 20815-4330 | 2007-10-22 |
| 1457456295 | Heart Savers East Coast, LLC | Physiological Laboratory | 110 W Timonium Road, Suite 1d, Timonium, MD 21093 | 2006-09-14 |
| 1386654663 | America's Favorite Sleep Center Inc. | Physiological Laboratory | 10290 Baltimore National Pike, Ellicott City, MD 21042 | 2006-08-09 |
| 1639140387 | American Diagnostics Services LLC | Physiological Laboratory | 2505 Lord Baltimore Drive, Suite E, Windsor Mill, MD 21244-2639 | 2006-01-31 |
| 1538460985 | Radiation Physics Inc | Physiological Laboratory | 10133 Bacon Dr, Beltsville, MD 20705-2102 | 2010-11-16 |
| Find all providers with the same taxonomy | ||||
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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.