FREDERICK HEALTH MEDICAL GROUP LLC (NPI# 1851939052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851939052 |
| Entity Type | Organization |
| Organization Name | FREDERICK HEALTH MEDICAL GROUP LLC |
| Other Organization Name | MONOCACY HEALTH PARTNERS LLC |
| Practice Address |
1562 Opossumtown Pike Ste 103 Frederick MD 21702-4337 |
| Mailing Address |
400 W 7th St Frederick MD 21701-4506 |
| Practice Telephone | 2405664500 |
| Mailing Telephone | 2405663337 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | MICHELLE K. MAHAN (SR. VP AND CFO) |
| Authorized Official Telephone | 2405663337 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDERICK HEALTH MEDICAL GROUP LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Frederick Health Medical Group | Doing Business As Name - Organization |
| Monocacy Health Partners LLC | Former Legal Business Name - Organization |
| Oncology Care Consultants Infusion Therapy | Doing Business As 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 |
| 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 |
| 1720496573 | Frederick Health Medical Group LLC | Internal Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2014-07-24 |
| 1457793424 | Frederick Health Medical Group LLC | Psychiatry & Neurology | 400 W 7th St, Frederick, MD 21701-4506 | 2013-07-19 |
| Street Address |
1562 OPOSSUMTOWN PIKE STE 103 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982109351 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 1562 Opossumtown Pike Ste 103, Frederick, MD 21702-4337 | 2018-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| 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 |
| 1659688703 | Stephen Paul Creekmore | Internal Medicine | 9012 Mountainberry Ct, Frederick, MD 21702-3404 | 2010-09-10 |
| 1013931526 | Patrick Johannes Mansky | Internal Medicine | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661760 | Wendeline Wagner | Internal Medicine | 1330 Piccard Dr, Rockville, MD 20850-4330 | 2020-05-20 |
| 1306497474 | Michaele C Christian | Internal Medicine | 9609 Medical Center, Bethesda, MD 20892-0001 | 2019-09-20 |
| 1568927911 | Kekule Asgari | Internal Medicine | 11404 Channing Dr, Silver Spring, MD 20902-2906 | 2019-02-08 |
| 1811474851 | Jaqueline Whang-peng | Internal Medicine | 6812 Tilden Ln, Rockville, MD 20852-4501 | 2018-07-23 |
| 1134616873 | Christian Rolfo | Internal Medicine | 22 S Greene St # S9d, Baltimore, MD 21201-1591 | 2018-04-18 |
| 1992215073 | Ramya Ramaswami | Internal Medicine | Ccr 10 Center Drive Room 6n110, Bethesda, MD 20892-0001 | 2017-10-03 |
| 1104353374 | Cancer and Blood Disorders Treatment Center LLC | Internal Medicine | 3200 Crain Hwy Ste 302, Waldorf, MD 20603-4843 | 2017-05-17 |
| 1063947133 | Robert M. White Jr. | Internal Medicine | 12054 Eaglewood Ct, Silver Spring, MD 20902-1876 | 2017-04-26 |
| 1851718928 | Edwin Rock | Internal Medicine | 5518 Lincoln St, Bethesda, MD 20817-3724 | 2014-03-26 |
| 1447699681 | Paz Joan Vellanki | Internal Medicine | 10903 New Hampshire Ave Rm 2181, Silver Spring, MD 20993-0001 | 2013-06-20 |
| 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.