FREDERICK MEMORIAL HOSPITAL INC (NPI# 1790950871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790950871 |
| Entity Type | Organization |
| Organization Name | FREDERICK MEMORIAL HOSPITAL INC |
| Other Organization Name | CENTER FOR CHEST DISEASE |
| Practice Address |
501 W 7th St Suite D Frederick MD 21701-4586 |
| Practice Telephone | 3016945861 |
| Mailing Telephone | 3016945861 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | MR. JOHN R. VERBUS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2405663381 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDERICK MEMORIAL HOSPITAL INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Chest Disease | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922434067 | Frederick Memorial Hospital Inc | Clinic/Center | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-09-20 |
| 1285069427 | Frederick Memorial Hospital Inc | Dietitian, Registered | 5500 Buckeystown Pike, Frederick, MD 21703-8331 | 2013-09-06 |
| 1730525775 | Frederick Memorial Hospital Inc | Physical Therapist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-05-17 |
| 1316290422 | Frederick Memorial Hospital Inc | Surgery | 7211 Bank Ct, Frederick, MD 21703-8483 | 2012-10-26 |
| 1083998348 | Frederick Memorial Hospital Inc | Orthopaedic Surgery | 52 Thomas Johnson Dr, Frederick, MD 21702-4501 | 2011-10-05 |
| 1477866127 | Frederick Memorial Hospital Inc | Urology | 900 Toll House Ave, Frederick, MD 21701-4547 | 2010-07-23 |
| 1568781821 | Frederick Memorial Hospital Inc | Pain Medicine | 516 Trail Ave, Frederick, MD 21701-4942 | 2010-05-26 |
| 1215265996 | Frederick Memorial Hospital Inc | Pediatrics | 400 W 7th St, Frederick, MD 21701-4506 | 2009-11-18 |
| 1437389830 | Frederick Memorial Hospital Inc | Surgery | 1564 Opossumtown Pike, Frederick, MD 21702-4359 | 2009-07-20 |
| 1326299835 | Frederick Memorial Hospital Inc | Emergency Medicine | 400 W 7th St, Frederick, MD 21701-4506 | 2008-10-02 |
| Street Address |
501 W 7TH ST SUITE D |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-4586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550986 | Kwok C. Lee | Radiology | 501 W 7th St, Ste 2, Frederick, MD 21701-4507 | 2005-06-30 |
| 1730707902 | Kelly Ann Schultheis | Nurse Practitioner | 501 W 7th St, Frederick, MD 21701-4586 | 2020-07-13 |
| 1598317893 | Frederick Health Medical Group LLC | Social Worker | 501 W 7th St, Frederick, MD 21701-4586 | 2019-07-16 |
| 1992265656 | Melanie Faith Ondrejko | Nurse Practitioner | 501 W 7th St, Frederick, MD 21701 | 2019-03-20 |
| 1477023174 | Meghan Matthews | Social Worker | 501 W 7th St, Frederick, MD 21701-4586 | 2018-11-26 |
| 1619446622 | Lemuel Carlo Lucas De Leon | Nurse Practitioner | 501 W 7th St, Frederick, MD 21701 | 2018-11-19 |
| 1447731724 | Brian Kristian Strahl | Physician Assistant | 501 W 7th St, Frederick, MD 21701-4586 | 2018-08-24 |
| 1215423181 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 501 W 7th St, Frederick, MD 21701-4586 | 2018-07-03 |
| 1033605902 | Frederick Health Hospital Inc | Radiology | 501 W 7th St, Frederick, MD 21701-4586 | 2018-07-03 |
| 1841782836 | Frederick Health Medical Group LLC | Clinic/Center | 501 W 7th St, Frederick, MD 21701-4586 | 2018-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
| 1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| Find all providers in zip 21701 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104194778 | Frederick Health Medical Group LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2011-12-09 |
| 1760684831 | Paul N Chomiak Md LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 501 W 7th St Ste D, Frederick, MD 21701-4589 | 2007-06-01 |
| 1407817018 | Mark Steven Soberman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 501 W 7th St, Frederick, MD 21701-4586 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745336 | David Myers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 713 Childs Point Rd, Annapolis, MD 21401-4498 | 2020-03-18 |
| 1457652505 | Richard Nathaniel Scott | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13321 Ridgewood Dr, Ellicott City, MD 21042-1265 | 2010-11-05 |
| 1144458449 | Lindsey Michelle Prescher | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8901 Wisconsin Ave Cardiothoracic Surgery Department, Bethesda, MD 20889-0140 | 2009-06-24 |
| 1134363500 | Ferdinand S. Leacock | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3442 Rockway Ave, Annapolis, MD 21403-4852 | 2009-04-28 |
| 1235377862 | Paul Damien Hatton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3107 Black Chestnut Ln, Chevy Chase, MD 20815-4754 | 2009-02-04 |
| 1821252370 | Parijat Mukund Didolkar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5051 Greenspring Ave Ste 304, Baltimore, MD 21209 | 2008-07-14 |
| 1801054630 | The Medical Clinic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7500 Hanover Pkwy Ste 205, Greenbelt, MD 20770-2009 | 2008-05-29 |
| 1871777995 | Barry J. Levin, M.d. LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10215 Fernwood Rd Ste 405, Bethesda, MD 20817-1191 | 2007-12-26 |
| 1518140946 | Nicholas John Karis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2435 W Belvedere Ave Ste 42, Baltimore, MD 21215-5224 | 2007-12-07 |
| 1336349554 | Cardiac Surgery Associates, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3328 Butler Rd, Reisterstown, MD 21136-3855 | 2007-07-25 |
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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.