FREDERICK HEALTH MEDICAL GROUP LLC (NPI# 1720496573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720496573 |
| Entity Type | Organization |
| Organization Name | FREDERICK HEALTH MEDICAL GROUP LLC |
| Other Organization Name | MONOCACY HEALTH PARTNERS ENDOCRINE AND THYROID SPECIALISTS |
| Practice Address |
7211 Bank Ct Frederick MD 21703-8483 |
| Practice Telephone | 2402151454 |
| Practice Fax Number | 2402151453 |
| Mailing Telephone | 2402151454 |
| Mailing Fax Number | 2402151453 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | MICHELLE 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 | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Frederick Health Medical Group | Doing Business As Name - Organization |
| Monocacy Health Partners Endocrine and Thyroid 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 |
| 1578831145 | Frederick Health Medical Group LLC | Urology | 1562 Opossumtown Pike Ste 301, 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 |
| 1457793424 | Frederick Health Medical Group LLC | Psychiatry & Neurology | 400 W 7th St, Frederick, MD 21701-4506 | 2013-07-19 |
| Street Address |
7211 BANK CT |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703-8483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749834 | Melissa M Asuncion X | Family Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2005-06-13 |
| 1396275244 | Karl Benjamin Genovese | Family Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2017-06-14 |
| 1225570658 | Marcia Wolfinger | Counselor | 7211 Bank Ct, Frederick, MD 21703-8483 | 2016-11-16 |
| 1295288546 | Joanna Eaton | Dietitian, Registered | 7211 Bank Ct, Suite 240, Frederick, MD 21703-8483 | 2016-08-03 |
| 1710356829 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 7211 Bank Ct, Frederick, MD 21703-8483 | 2015-09-18 |
| 1871977793 | Pratik Shah | Internal Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2015-07-10 |
| 1114305224 | Katherine N Wyatt Fields | Dietitian, Registered | 7211 Bank Ct, Suite 240, Frederick, MD 21703-8483 | 2015-05-08 |
| 1275971178 | Hassan Madani | Family Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2013-06-13 |
| 1780020735 | Frederick Health Hospital Inc | Occupational Therapist | 7211 Bank Ct, Frederick, MD 21703-8483 | 2013-05-17 |
| 1376987016 | Emily Sue Spear | Dietitian, Registered | 7211 Bank Ct, Frederick, MD 21703 | 2013-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| Find all providers in zip 21703 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871977793 | Pratik Shah | Internal Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2015-07-10 |
| 1467587063 | Kiarash Zarbalian | Internal Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2007-02-22 |
| 1518005636 | Martin Mahendra Sarkar | Internal Medicine | 7211 Bank Ct, Ste 240, Frederick, MD 21703-8483 | 2007-02-01 |
| 1851492276 | Internal Medicine Associates Pa | Internal Medicine | 300 W 9th St, Frederick, MD 21701-4541 | 2006-09-26 |
| 1760590111 | Donelson & Carnell Md Pa | Internal Medicine | 65 Thomas Johnson Dr, Ste C, Frederick, MD 21702-4371 | 2006-08-27 |
| 1598871378 | Majd Abouassali Hakim | Internal Medicine | 65 Thomas Johnson Dr, Suite C, Frederick, MD 21702 | 2006-08-22 |
| 1861406753 | Nathan Eric Carnell | Internal Medicine | 7211 Bank Ct, Suite 240, Frederick, MD 21703-8483 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102309 | Lifebridge Suburban Physicians Group, LLC | Internal Medicine | 4 W Rolling Cross Road, Suite 100, Catonsville, MD 21228-6280 | 2019-09-04 |
| 1285282046 | Lee Scott Weinstein | Internal Medicine | 10 Center Drive Bldg 10 Rm8c101, Bethesda, MD 20892-0001 | 2019-08-26 |
| 1811453475 | Leila Shobab | Internal Medicine | 5514 Greentree Rd, Bethesda, MD 20817-3548 | 2019-02-19 |
| 1558825307 | Ideal Endocrinology LLC | Internal Medicine | 3000 Chestnut Ave Ste 202, Baltimore, MD 21211-2794 | 2019-01-25 |
| 1912475633 | Jocelyn Uriostegui | Internal Medicine | 108 Forbes St # 2, Annapolis, MD 21401-1502 | 2018-11-12 |
| 1104300334 | Johns Hopkins University | Internal Medicine | 1700 N Caroline St, Baltimore, MD 21213-2204 | 2018-09-24 |
| 1356857643 | Capital Diabetes & Endocrine Associates LLC | Internal Medicine | 5801 Allentown Rd Ste 500, Camp Springs, MD 20746-4518 | 2017-12-21 |
| 1427567163 | Phillip Gorden | Internal Medicine | 10 Center Dr Building 10/crc Room 6-5940, Bethesda, MD 20892-0001 | 2017-09-26 |
| 1366986739 | Maryland Medical Center, LLC | Internal Medicine | 8100 Sandpiper Cir Ste 100, Nottingham, MD 21236-5028 | 2016-12-05 |
| 1174079180 | Theresa Kehoe | Internal Medicine | 11712 Lovejoy St, Silver Spring, MD 20902-1637 | 2016-08-30 |
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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.