MERITUS MEDICAL CENTER INC (NPI# 1689759128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689759128 |
Entity Type | Organization |
Organization Name | MERITUS MEDICAL CENTER INC |
Other Organization Name | MERITUS PHYSICIANS-TRAUMA |
Practice Address |
11116 Medical Campus Road Hagerstown MD 21742-6710 |
Mailing Address |
11116 Medical Campus Rd Hagerstown MD 21742-6710 |
Practice Telephone | 3017144382 |
Practice Fax Number | 3017144293 |
Mailing Telephone | 2403139508 |
Mailing Fax Number | 2403139530 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2019-08-09 |
Authorized Official Name | MR. THOMAS T CHAN (CFO) |
Authorized Official Telephone | 3017908103 |
Is Organization Subpart | Y |
Parent Organization Name | MERITUS MEDICAL CENTER INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 949701300 | 05 |
Other Name | Type Code |
---|---|
Meritus Physicians-Trauma | 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 |
1679877559 | Meritus Medical Center Inc | Nurse Practitioner | 11110 Medical Campus Rd, Suite 243a, Hagerstown, MD 21742-6700 | 2011-01-06 |
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 |
Street Address |
11116 MEDICAL CAMPUS ROAD |
City | HAGERSTOWN |
State | MD |
Zip Code | 21742-6710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407964646 | Blue Ridge Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 11116 Medical Campus Road, Hagerstown, MD 21742-6710 | 2006-08-28 |
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 | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285661314 | Eldon Leon Hawbaker | Surgery | 11912 Indian Ln, Hagerstown, MD 21742-4204 | 2006-06-26 |
1629177571 | Marc E Kross | Surgery | 251 E Antietam St, Hagerstown, MD 21740-5724 | 2006-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649613845 | Howard R Champion | Surgery | 954 Melvin Rd, Annapolis, MD 21403-1316 | 2013-04-08 |
1669730081 | Christian Damone Cain | Surgery | 22 S Greene St Dept Of, Baltimore, MD 21201 | 2012-04-24 |
1033485289 | Marcie Feinman | Surgery | 2435 W. Belvedere Ave. Suite 42, Hoffberger Building, Baltimore, MD 21215 | 2012-03-31 |
1962506436 | Vicki Elaine Reese | Surgery | 12146 Sweet Clover Dr, Silver Spring, MD 20904-1866 | 2006-09-12 |
1093725301 | Jeffrey Paul Muench | Surgery | 11119 Rockville Pike Ste 409, Rockville, MD 20852 | 2006-08-09 |
1952942666 | Reza Moghaddasnia | Surgery | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-10-03 |
1003311754 | Evan Wong | Surgery | 1800 Orleans St Ste 6107, Baltimore, MD 21287 | 2018-03-26 |
1639684434 | Jonathan James Morrison | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2017-12-04 |
1700256559 | Dimensions Healthcare Associates, Inc | Surgery | 2900 Mercy Ln, 2nd Floor, Cheverly, MD 20785-1157 | 2015-10-05 |
1124448162 | Patrick Franklin Walker | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2014-04-17 |
Find all providers with the same taxonomy |
City | HAGERSTOWN |
Zip Code | 21742 |
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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.