FREDERICK HEALTH HOSPITAL INC (NPI# 1891154100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891154100 |
| Entity Type | Organization |
| Organization Name | FREDERICK HEALTH HOSPITAL INC |
| Other Organization Name | FREDERICK HEALTH RADIATION THERAPY |
| Practice Address |
1562 Opossumtown Pike Ste 101 Frederick MD 21702-4337 |
| Mailing Address |
400 W 7th St Frederick MD 21701-4506 |
| Practice Telephone | 2405664500 |
| Mailing Telephone | 2405664500 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | MICHELLE K MAHAN (CFO, SR. VP) |
| Authorized Official Telephone | 2405663355 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDERICK HEALTH HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities | ||
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Frederick Health Radiation Therapy | Doing Business As Name - Organization |
| Frederick Memorial Hospital Inc | Former Legal Business Name - Organization |
| FRHS Regional Cancer Therapy Center | Doing Business As Name - Organization |
| 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 |
| 1982600771 | Frederick Health Hospital Inc | Neuromusculoskeletal Medicine & OMM | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2005-06-27 |
| 1336145127 | Frederick Health Hospital Inc | Occupational Therapist | 163 Thomas Johnson Dr, Frederick, MD 21702-4673 | 2005-06-27 |
| 1306842174 | Frederick Health Hospital Inc | Home Health | 1 Frederick Health Way, Frederick, MD 21701-9435 | 2005-06-24 |
| 1538165527 | Frederick Health Hospital Inc | Clinic/Center | 400 W 7th St, Frederick, MD 21701-4506 | 2005-06-23 |
| 1780284448 | Frederick Health Hospital Inc | Home Infusion | 1 Frederick Health Way, Frederick, MD 21701-9435 | 2020-10-30 |
| 1407480361 | Frederick Health Hospital Inc | Pharmacy | 400 W 7th St, Frederick, MD 21701-4506 | 2020-02-28 |
| 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 |
| 1447619754 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 400 W 7th St, Frederick, MD 21701-4506 | 2016-02-15 |
| Street Address |
1562 OPOSSUMTOWN PIKE STE 101 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4337 |
| 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 | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528574860 | Peter Mathen | Clinic/Center | 10 Center Dr Rm B2-3671, Bethesda, MD 20892-0001 | 2017-12-22 |
| 1790844710 | Radamerica II LLC | Clinic/Center | 9105 Franklin Square Dr, Suite 100, Baltimore, MD 21237-3930 | 2006-12-06 |
| 1821065079 | Chesapeake Oncology Hematology Assoc | Clinic/Center | 3001 S Hanover St, Harbor View Cancer Center, Baltimore, MD 21225-1233 | 2006-03-07 |
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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.