SERENITY MEDICAL & WELLNESS CENTER OF FREDERICK (NPI# 1083009658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083009658 |
| Entity Type | Organization |
| Organization Name | SERENITY MEDICAL & WELLNESS CENTER OF FREDERICK |
| Practice Address |
801 Toll House Ave Suite F1 Frederick MD 21701-4564 |
| Mailing Address |
7820 Wormans Mill Rd Ste B Suite 243 Frederick MD 21701-3037 |
| Practice Telephone | 2405615163 |
| Mailing Telephone | 2406515163 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |
| Authorized Official Name | DR. BIANCA UDUGAMPOLA (OWNER) |
| Authorized Official Telephone | 3013316463 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D67750 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
801 TOLL HOUSE AVE SUITE F1 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093704538 | Saeed Abbas Zaidi | Internal Medicine | 801 Toll House Ave, Building E, Frederick, MD 21701-4564 | 2005-10-18 |
| 1750736344 | Homecare Resources, Inc | Home Health | 801 Toll House Ave, Suite A-3, Frederick, MD 21701-4564 | 2016-05-02 |
| 1952768673 | Red Canyon, LLC | Physical Therapist | 801 Toll House Ave, Suite H-3, Frederick, MD 21701-4564 | 2016-01-26 |
| 1629475249 | Ghulam Abbas Md LLC | Internal Medicine | 801 Toll House Ave, Frederick, MD 21701-4564 | 2014-11-25 |
| 1720308398 | Gaffar A Syed Md Pa | Internal Medicine | 801 Toll House Ave, Suite H-4, Frederick, MD 21701-4555 | 2010-06-07 |
| 1700014537 | Hearing Consultants, LLC | Audiologist-Hearing Aid Fitter | 801 Toll House Ave, Suite D-3, Frederick, MD 21701-4564 | 2009-07-01 |
| 1366610909 | Castle Hearing Center, Inc | Audiologist | 801 Toll House Ave, D 3, Frederick, MD 21701-4564 | 2008-02-18 |
| 1023293826 | Mohammed M Mohiuddin | Urology | 801 Toll House Ave, Bldg B2, Frederick, MD 21701 | 2007-12-31 |
| 1093908782 | Michael Garofano, Ph.d., LLC | Clinical Neuropsychologist | 801 Toll House Ave, Suite A-3, Frederick, MD 21701-4564 | 2007-08-25 |
| 1396952727 | Laura Anne Estupinan-kane | Psychologist | 801 Toll House Ave, A-2, Frederick, MD 21701-4564 | 2007-05-16 |
| Find all providers in the same location | ||||
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1235532912 | Harpreet Gulati | Internal Medicine | 5257 Buckeystown Pike Ste 265, Frederick, MD 21704-7535 | 2014-10-08 |
| 1285053926 | Garima Narayen | Internal Medicine | 7211 Bank Ct Ste 240, Frederick, MD 21703-8482 | 2014-04-09 |
| 1689916892 | Jalal Saied Md, LLC | Internal Medicine | 238 W Patrick St, Frederick, MD 21701-6945 | 2013-03-26 |
| 1881946184 | Jalal Saied, M.d. LLC | Internal Medicine | 15 West 7th Street, Frederick, MD 21701-4501 | 2012-10-10 |
| 1699900894 | Gary Philip Schwartz | Internal Medicine | 6360 Claridge Dr N, Frederick, MD 21701-7617 | 2009-05-18 |
| 1265619878 | Mouhamad Bazzi | Internal Medicine | 2405 Whittier Drive, Suite 100, Frederick, MD 21702-3361 | 2008-01-25 |
| 1770768483 | Sajjad Aziz, M.d., P.a. | Internal Medicine | 801 Toll House Ave Ste C3, Frederick, MD 21701-4555 | 2008-01-02 |
| 1679761472 | Rengen Nephrology LLC | Internal Medicine | 405 W 7th St, Frederick, MD 21701-4505 | 2007-10-07 |
| 1184835720 | Sarabjit Kaur Singh | Internal Medicine | 186 Thomas Johnson Dr Ste 105, Frederick, MD 21702-4315 | 2007-05-25 |
| 1043385651 | Michael Terry Sullivan | Internal Medicine | 22 S Market Street, Frederick, MD 21701 | 2006-11-21 |
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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.