MERITUS MEDICAL CENTER INC (NPI# 1679877559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679877559 |
| Entity Type | Organization |
| Organization Name | MERITUS MEDICAL CENTER INC |
| Other Organization Name | MERITUS GYNECOLOGIC ONCOLOGY CENTER |
| Practice Address |
11110 Medical Campus Rd Suite 243a Hagerstown MD 21742-6700 |
| Mailing Address |
11116 Medical Campus Rd Hagerstown MD 21742-6710 |
| Practice Telephone | 3016654640 |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2015-07-23 |
| Authorized Official Name | MR. THOMAS CHAN (CFO) |
| Authorized Official Telephone | 3017908102 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERITUS MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| MERITUS GYNECOLOGIC ONCOLOGY CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799008 | Meritus Medical Center Inc | Clinic/Center | 18714 N Village, Hagerstown, MD 21742-2454 | 2020-08-03 |
| 1205176393 | Meritus Medical Center Inc | Nurse Practitioner | 11116 Medical Campus Rd, Room 2999, Hagerstown, MD 21742-6710 | 2013-02-26 |
| 1649518879 | Meritus Medical Center Inc | Clinic/Center | 1300 Marshall St, Hagerstown, MD 21740-3509 | 2013-01-23 |
| 1558609784 | Meritus Medical Center Inc | Clinic/Center | 1101 S Potomac St, Hagerstown, MD 21740-7322 | 2013-01-23 |
| 1184989683 | Meritus Medical Center Inc | Clinic/Center | 324 E Antietam St, Hagerstown, MD 21740-5754 | 2012-07-10 |
| 1548559248 | Meritus Medical Center Inc | Internal Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2011-04-04 |
| 1558670521 | Meritus Medical Center Inc | Dietitian, Registered | 1110 Professional Ct, Suite 201, Hagerstown, MD 21740-5826 | 2010-09-24 |
| 1275849242 | Meritus Medical Center Inc | Psychiatry & Neurology | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2010-08-27 |
| 1659517936 | Meritus Medical Center Inc | Psychiatry & Neurology | 11116 Medical Campus Rd, 1west, Hagerstown, MD 21742-6710 | 2008-12-17 |
| 1396980405 | Meritus Medical Center Inc | Emergency Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2008-12-04 |
| Street Address |
11110 MEDICAL CAMPUS RD SUITE 243A |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344592 | Stephen Mark Sachs | Surgery | 11110 Medical Campus Rd, Suite 147, Hagerstown, MD 21742-6700 | 2005-05-23 |
| 1295279214 | Sheri Lynn Denham | Nurse Practitioner | 11110 Medical Campus Rd, Hagerstown, MD 21742-6700 | 2016-12-09 |
| 1952843435 | Hagerstown Management LLC | Surgery | 11110 Medical Campus Rd, Suite 125, Hagerstown, MD 21742-6700 | 2016-11-15 |
| 1013465897 | Juris G. Eyler | Physician Assistant | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2016-09-21 |
| 1437501236 | Centers for Advanced Orthopaedics, LLC | Physical Therapist | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742 | 2016-07-06 |
| 1487009155 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 11110 Medical Campus Rd, Suite 100, Hagerstown, MD 21742-6700 | 2016-04-29 |
| 1154791143 | Gastroenterology Solutions LLC | Internal Medicine | 11110 Medical Campus Rd, Suite 242, Hagerstown, MD 21742-6700 | 2015-10-02 |
| 1457721912 | Ryan Williams | Dentist | 11110 Medical Campus Rd, Suite 148, Hagerstown, MD 21742-6700 | 2015-09-28 |
| 1932599636 | Anthony Disalvo | Physical Therapist | 11110 Medical Campus Rd, Suite 201, Hagerstown, MD 21742-6700 | 2015-02-02 |
| 1730588153 | Thoracic & Surgical Specialists of Cumberland Valley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11110 Medical Campus Rd, Suite 127, Hagerstown, MD 21742-6700 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851831234 | Marlea Boyd | Nurse Practitioner | 1165 Imperial Dr, Suite 300, Hagerstown, MD 21740-6555 | 2017-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869690 | Angela Charolett Price | Nurse Practitioner | 2000 Medical Pkwy Ste 306, Annapolis, MD 21401-3745 | 2020-04-15 |
| 1215426010 | Kimberly Ann Davis | Nurse Practitioner | 4470 Regency Pl Ste 106, White Plains, MD 20695-3085 | 2018-05-07 |
| 1134666266 | Ursula Rocha | Nurse Practitioner | 858 Clamshell Ct, Edgewater, MD 21037-3505 | 2017-01-26 |
| 1548421357 | Middletown Valley Women's Health, LLC | Nurse Practitioner | 4253 Old National Pike, Suite 2, Middletown, MD 21769-7702 | 2008-06-24 |
| 1104011881 | Nancy Ann Long | Nurse Practitioner | 132 Holiday Court, Suite 210, Annapolis, MD 21401 | 2007-09-06 |
| 1093925695 | Stephanie Forte Deese | Nurse Practitioner | 900 Caton Ave # 081, Baltimore, MD 21229-5201 | 2007-05-23 |
| 1609931849 | Pregnancy Aid Centers, Inc. | Nurse Practitioner | 4809 Greenbelt Rd, College Park, MD 20740-2001 | 2006-12-27 |
| 1518057371 | Jean Staples | Nurse Practitioner | 119 S Hays St, Bel Air, MD 21014-3644 | 2006-10-13 |
| 1669441093 | Annette Marie Naru | Nurse Practitioner | 41680 Miss Bessie Drive, Suite 102, Leonardtown, MD 20650 | 2006-03-17 |
| 1932101862 | Mary Rachel Elliott | Nurse Practitioner | 503 Muir St, Cambridge, MD 21613-1848 | 2005-08-11 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
Please comment or provide details below to improve the information on MERITUS MEDICAL CENTER INC.
| 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.