MID-MARYLAND EAR NOSE & THROAT SPECIALISTS, P.A. (NPI# 1215993977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215993977 |
| Entity Type | Organization |
| Organization Name | MID-MARYLAND EAR NOSE & THROAT SPECIALISTS, P.A. |
| Other Organization Name | MID-MARYLAND ENT SPECIALISTS, P.A. |
| Practice Address |
75 Thomas Johnson Dr Suite B Frederick MD 21702-4895 |
| Practice Telephone | 3016953100 |
| Practice Fax Number | 3016953100 |
| Mailing Telephone | 3016953100 |
| Mailing Fax Number | 3016953100 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2013-11-13 |
| Authorized Official Name | EVERETT TALMADGE HART (PRESIDENT) |
| Authorized Official Telephone | 3016953100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | CAREFIRST BLUE CROSS BLUE SHIELD NATIONAL CAPITAL AREA | B583 | 01 |
| MD | 310102900 | 05 | |
| MD | CAREFIRST BLUE CROSS BLUE SHIELD MARYLAND | KH16MI | 01 |
| Other Name | Type Code |
|---|---|
| Mid-Maryland ENT Specialists, P.A. | Other Name - Individual/Organization |
| Street Address |
75 THOMAS JOHNSON DR SUITE B |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768764 | Everett T. Hart | Otolaryngology | 75 Thomas Johnson Dr, Ste B, Frederick, MD 21702-4895 | 2005-05-23 |
| 1811281322 | Jennifer Hair | Genetic Counselor, MS | 75 Thomas Johnson Dr, Suite G, Frederick, MD 21702-4895 | 2011-06-01 |
| 1669764114 | Frederick Foot and Ankle Specialists | Durable Medical Equipment & Medical Supplies | 75 Thomas Johnson Dr, Suite I, Frederick, MD 21702-4895 | 2011-05-03 |
| 1710286190 | Center for Pain Management, LLC | Pain Medicine | 75 Thomas Johnson Dr, Ste C, Frederick, MD 21702-4895 | 2011-03-24 |
| 1669785457 | Frederick Foot & Ankle Surgery Center LLC | Clinic/Center | 75 Thomas Johnson Dr, Suite I, Frederick, MD 21702-4895 | 2010-07-21 |
| 1326351776 | George I Smith | Internal Medicine | 75 Thomas Johnson Dr, Suite F, Frederick, MD 21702-4895 | 2010-07-14 |
| 1598085011 | Leota Lifestar LLC | Counselor | 75 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4895 | 2010-06-07 |
| 1417106998 | Family Mri Inc. | Radiology | 75 Thomas Johnson Dr, Suite F, Frederick, MD 21702-4895 | 2008-09-09 |
| 1669669818 | Tuckey and Associates Physical Therapy, LLC | Physical Therapist | 75 Thomas Johnson Dr, Frederick, MD 21702-4895 | 2007-10-02 |
| 1497888226 | Elizabeth Anne Van Dermark | Nurse Practitioner | 75 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4895 | 2007-03-13 |
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| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538158605 | Gerald M Reed | Otolaryngology | 163 Thomas Johnson Drive, Suite H, Frederick, MD 21702 | 2005-10-20 |
| 1598768764 | Everett T. Hart | Otolaryngology | 75 Thomas Johnson Dr, Ste B, Frederick, MD 21702-4895 | 2005-05-23 |
| 1891086799 | Jared Joseph Tompkins | Otolaryngology | 501 W 7th St, Frederick, MD 21701 | 2011-04-26 |
| 1922291921 | Gerald M Reed, D.o.p.a. | Otolaryngology | 27 W 7th St, Frederick, MD 21701-4689 | 2007-08-22 |
| 1578622130 | Wayne Anthony Cardoni | Otolaryngology | 501 W 7th St, Frederick, MD 21701-4586 | 2006-12-08 |
| 1760581821 | George Lee Coppit IIi | Otolaryngology | 501 W 7th St, Frederick, MD 21701-4586 | 2006-09-22 |
| 1780664979 | James Phillip Oberman | Otolaryngology | 501 W 7th St, Frederick, MD 21701-4586 | 2006-01-23 |
| 1073514675 | Michael R Morris | Otolaryngology | 75 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4895 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194219899 | Hearing and Balance Centers of The Chesapeake LLC | Otolaryngology | 4000 Mitchellville Rd Ste A410, Bowie, MD 20716-3141 | 2018-06-18 |
| 1023539632 | Ent Allergy and Asthma Center PC | Otolaryngology | 11119 Rockville Pike Ste 207, North Bethesda, MD 20852-3143 | 2017-07-05 |
| 1770945917 | Michelle S Hwang | Otolaryngology | 600 N Caroline St, 6th Floor, Baltimore, MD 21205-1839 | 2016-03-27 |
| 1962817098 | Sunny Joseph Haft | Otolaryngology | James T. Frenkil Bldg, 16 S Eutaw Street, Suite 500, Baltimore, MD 21201-9000 | 2014-06-27 |
| 1790195485 | Total Ent Care LLC | Otolaryngology | 3333 N Calvert St Ste 680, Baltimore, MD 21218-6517 | 2014-05-02 |
| 1700206869 | Joseph Choi Park | Otolaryngology | 601 N Caroline St # Street6, Baltimore, MD 21287-0006 | 2014-04-16 |
| 1689091522 | Omar Gasudraz Ahmed | Otolaryngology | 601 N Caroline St Ste 6011, Baltimore, MD 21287-0006 | 2014-03-27 |
| 1871936112 | Deepa J Galaiya | Otolaryngology | 601 N Caroline St Ste 6, Baltimore, MD 21287-0006 | 2013-04-16 |
| 1225392558 | Nicholas Ray Rowan | Otolaryngology | 601 N Caroline St Ste 6161, Baltimore, MD 21287-0006 | 2012-07-02 |
| 1598034183 | Edward John Drawbaugh | Otolaryngology | 19004 Cherry Tree Dr, Hagerstown, MD 21742-2633 | 2011-12-28 |
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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.