JARRETT CORPORATION (NPI# 1285006288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285006288 |
Entity Type | Organization |
Organization Name | JARRETT CORPORATION |
Other Organization Name | FREDERICK FAMILY MEDICAL CLINIC |
Practice Address |
45 Waverley Dr Suite O Frederick MD 21702-4854 |
Practice Telephone | 3016245999 |
Practice Fax Number | 3016245997 |
Mailing Telephone | 3016245999 |
Mailing Fax Number | 3016245997 |
Enumeration Date | 2015-10-29 |
Last Update Date | 2016-07-15 |
Authorized Official Name | DR. INNOCENT MONYA-TAMBI (ATTENDING PHYSICIAN) |
Authorized Official Telephone | 4433705348 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
D0076463 | MD | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Frederick Family Medical Clinic | Doing Business As Name - Organization |
Street Address |
45 WAVERLEY DR SUITE O |
City | FREDERICK |
State | MD |
Zip Code | 21702-4854 |
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 | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1649735366 | Sky Health | Clinic/Center | 201 Thomas Johnson Dr Ste 200, Frederick, MD 21702-4686 | 2019-02-06 |
1528416740 | Mission of Mercy, Inc | Clinic/Center | 22 S Market St Ste 6d, Frederick, MD 21701-5572 | 2016-05-27 |
1801194709 | Pnj Primary Care LLC | Clinic/Center | 5100 Buckeystown Pike Ste 186, Frederick, MD 21704-8337 | 2011-03-02 |
1306180013 | Maryland Medical Services LLC | Clinic/Center | 1090 W Patrick St, Unit 2a, Frederick, MD 21703-3967 | 2012-11-19 |
1619005741 | Drs. Rohrer and Zarick, LLC | Clinic/Center | 15 W 7th St, Frederick, MD 21701-4501 | 2007-03-01 |
1831202902 | City of Frederick | Clinic/Center | 100 S Market St, Frederick, MD 21701-5527 | 2006-08-16 |
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1316552219 | Premier Medical Care, LLC | Clinic/Center | 19735 Germantown Rd Ste 280, Germantown, MD 20874-1215 | 2020-09-09 |
1982226023 | Complete Access Care, LLC | Clinic/Center | 1035 Ingleside Ave, Catonsville, MD 21228-1318 | 2020-05-12 |
1184245045 | Comfort Primary Care | Clinic/Center | 9966 Royal Commerce Pl, Upper Marlboro, MD 20774-1163 | 2020-05-01 |
1407476955 | Rcc Community Services, Inc | Clinic/Center | 2628 Harford Rd, Baltimore, MD 21218-4928 | 2020-04-24 |
1013536960 | Philomena Nufunkuen Keli | Clinic/Center | 15012 Saddle Creek Dr, Burtonsville, MD 20866-2211 | 2020-04-10 |
1629606454 | Advanced Primary Care | Clinic/Center | 525 Eastern Ave # B2, Fairmount Heights, MD 20743-1677 | 2020-03-28 |
1588211890 | Two Tree Health Associates, LLC | Clinic/Center | 10 S Hanson St Ste 21, Easton, MD 21601-3078 | 2019-08-21 |
1326691874 | Lotus Healthcare and Wellness LLC | Clinic/Center | 6495 New Hampshire Ave Ste B140, Hyattsville, MD 20783-3245 | 2019-07-23 |
1831750546 | Matobi Family Healthcare,llc | Clinic/Center | 7350 Van Dusen Rd Ste 340, Laurel, MD 20707-5264 | 2019-06-24 |
1437718376 | Comforting Seniors LLC | Clinic/Center | 375 Valiant Cir, Glen Burnie, MD 21061-6135 | 2019-06-12 |
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.