MERITUS MEDICAL CENTER INC (NPI# 1205176393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205176393 |
| Entity Type | Organization |
| Organization Name | MERITUS MEDICAL CENTER INC |
| Other Organization Name | MERITUS PALLIATIVE CARE |
| Practice Address |
11116 Medical Campus Rd Room 2999 Hagerstown MD 21742-6710 |
| Practice Telephone | 3017667603 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2019-08-09 |
| Authorized Official Name | MR. THOMAS CHAN (CFO) |
| Authorized Official Telephone | 3017908103 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERITUS MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Meritus Palliative Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799008 | Meritus Medical Center Inc | Clinic/Center | 18714 N Village, Hagerstown, MD 21742-2454 | 2020-08-03 |
| 1649518879 | Meritus Medical Center Inc | Clinic/Center | 1300 Marshall St, Hagerstown, MD 21740-3509 | 2013-01-23 |
| 1558609784 | Meritus Medical Center Inc | Clinic/Center | 1101 S Potomac St, Hagerstown, MD 21740-7322 | 2013-01-23 |
| 1184989683 | Meritus Medical Center Inc | Clinic/Center | 324 E Antietam St, Hagerstown, MD 21740-5754 | 2012-07-10 |
| 1548559248 | Meritus Medical Center Inc | Internal Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2011-04-04 |
| 1679877559 | Meritus Medical Center Inc | Nurse Practitioner | 11110 Medical Campus Rd, Suite 243a, Hagerstown, MD 21742-6700 | 2011-01-06 |
| 1558670521 | Meritus Medical Center Inc | Dietitian, Registered | 1110 Professional Ct, Suite 201, Hagerstown, MD 21740-5826 | 2010-09-24 |
| 1275849242 | Meritus Medical Center Inc | Psychiatry & Neurology | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2010-08-27 |
| 1659517936 | Meritus Medical Center Inc | Psychiatry & Neurology | 11116 Medical Campus Rd, 1west, Hagerstown, MD 21742-6710 | 2008-12-17 |
| 1396980405 | Meritus Medical Center Inc | Emergency Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2008-12-04 |
| Street Address |
11116 MEDICAL CAMPUS RD ROOM 2999 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750388187 | Gary Weidman | Social Worker | 11116 Medical Campus Rd, Suite 2989, Hagerstown, MD 21742-6710 | 2005-06-30 |
| 1487279758 | Tina Kushnir | Registered Nurse | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2020-06-12 |
| 1700413515 | Mchaley Hoffman | Nurse Practitioner | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2020-03-24 |
| 1659902609 | Victoriya Eggen | Physician Assistant | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2020-01-29 |
| 1194280032 | Jill N Wilkins | Emergency Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2019-02-05 |
| 1770055956 | Lauren Wilkins | Physical Therapy Assistant | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2018-12-27 |
| 1598230096 | Judah Labovitz | Nurse Anesthetist, Certified Registered | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2018-10-10 |
| 1225524036 | Ashley Marie Pondo | Nurse Practitioner | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2018-07-04 |
| 1952812760 | Melissa M. Kershner | Nurse Practitioner | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2017-10-19 |
| 1417476409 | Christella Ajong Mbeboh | Family Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2017-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850666 | Cynthia Adwoah Mireku-baabu | Nurse Practitioner | 19241 Sharon Dr, Hagerstown, MD 21742-2433 | 2020-08-01 |
| 1982235305 | Crystal Belle | Nurse Practitioner | 828 Salem Ave, Hagerstown, MD 21740-4523 | 2020-02-04 |
| 1598199796 | Hagerstown Derm and Skin Care | Nurse Practitioner | 1136 Opal Ct, Hagerstown, MD 21740-5940 | 2013-08-25 |
| 1982618492 | Solveig K Locke | Nurse Practitioner | 1130 Professional Court, Hagerstown, MD 21740 | 2006-07-28 |
| 1528089323 | Shannon Page Hartman | Nurse Practitioner | 17812 College Rd, Hagerstown, MD 21740-1709 | 2006-07-21 |
| 1932180627 | Nancy Marian Manahan | Nurse Practitioner | 1126 Opal Ct, Hagerstown, MD 21740 | 2005-11-09 |
| 1093711970 | Susan Elizabeth Mcvey | Nurse Practitioner | 1185 Mount Aetna Rd Ste 200, Hagerstown, MD 21740-6832 | 2005-06-24 |
| 1114576220 | Damara Morgan | Nurse Practitioner | 11110 Medical Campus Rd Ste 223, Hagerstown, MD 21742-6727 | 2019-09-11 |
| 1023511706 | Jennifer Lyn Foster | Nurse Practitioner | 1183 Luther Dr, Hagerstown, MD 21740 | 2018-03-09 |
| 1164938452 | Sarah Condon | Nurse Practitioner | 1136 Opal Ct, Hagerstown, MD 21740-5940 | 2017-12-21 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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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.