GAGNON ONCOLOGY, LLC (NPI# 1376814293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376814293 |
Entity Type | Organization |
Organization Name | GAGNON ONCOLOGY, LLC |
Practice Address |
501 W 7th St Suite 2 Frederick MD 21701-4586 |
Mailing Address |
Po Box 1127 Frederick MD 21702-0127 |
Practice Telephone | 2405664500 |
Practice Fax Number | 3016957750 |
Mailing Telephone | 3016956555 |
Mailing Fax Number | 3016957750 |
Enumeration Date | 2012-01-24 |
Last Update Date | 2012-01-24 |
Authorized Official Name | RHONDA ATTAYA (BILLING SERVICE) |
Authorized Official Telephone | 3016956555 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
D0039954 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 758511000 | 05 |
Street Address |
501 W 7TH ST SUITE 2 |
City | FREDERICK |
State | MD |
Zip Code | 21701-4586 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477550986 | Kwok C. Lee | Radiology | 501 W 7th St, Ste 2, Frederick, MD 21701-4507 | 2005-06-30 |
1730707902 | Kelly Ann Schultheis | Nurse Practitioner | 501 W 7th St, Frederick, MD 21701-4586 | 2020-07-13 |
1598317893 | Frederick Health Medical Group LLC | Social Worker | 501 W 7th St, Frederick, MD 21701-4586 | 2019-07-16 |
1992265656 | Melanie Faith Ondrejko | Nurse Practitioner | 501 W 7th St, Frederick, MD 21701 | 2019-03-20 |
1477023174 | Meghan Matthews | Social Worker | 501 W 7th St, Frederick, MD 21701-4586 | 2018-11-26 |
1619446622 | Lemuel Carlo Lucas De Leon | Nurse Practitioner | 501 W 7th St, Frederick, MD 21701 | 2018-11-19 |
1447731724 | Brian Kristian Strahl | Physician Assistant | 501 W 7th St, Frederick, MD 21701-4586 | 2018-08-24 |
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 |
1841782836 | Frederick Health Medical Group LLC | Clinic/Center | 501 W 7th St, Frederick, MD 21701-4586 | 2018-06-05 |
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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 |
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Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477550986 | Kwok C. Lee | Radiology | 501 W 7th St, Ste 2, Frederick, MD 21701-4507 | 2005-06-30 |
1720386469 | Meredith Hope Wernick | Radiology | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2011-03-04 |
1518014935 | Lee Oncology, Pa | Radiology | 501 W 7th St, Ste. 2, Frederick, MD 21701-4507 | 2007-01-05 |
1407854268 | Gregory Gagnon | Radiology | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2005-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174130454 | Capital Radiosurgery Centers LLC | Radiology | 3730 Commerce Dr Ste 12141217, Baltimore, MD 21227-1654 | 2020-09-30 |
1538546262 | Skin Cancer Eb, LLC | Radiology | 300 Redland Ct, Suite 101, Owings Mills, MD 21117-3271 | 2015-05-01 |
1619364734 | Sarah Zuckoff Hazell | Radiology | 401 N Broadway St Rm 1440, Baltimore, MD 21287-0019 | 2015-04-16 |
1265851323 | Matthew Jeffrey Ferris | Radiology | Kaufman Cancer Center, Department of Radiation Oncology, 500 Upper Chesapeake Dr., Bel Air, MD 21014 | 2014-04-15 |
1548608334 | Rajal Patel | Radiology | 2121 Medical Park Dr Ste 4, Silver Spring, MD 20902 | 2013-06-13 |
1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
1528319209 | Andra Valentina Krauze | Radiology | Nih Radiation Oncology Branch 10 Center Dr, Msc 1682 Building 10crc Room B2-3665, Bethesda, MD 20892-0001 | 2012-09-21 |
1043586142 | Matthew Jacob Boyer | Radiology | 6701 N. Charles St, Gbmc Radiation Oncology, Towson, MD 21204 | 2012-03-22 |
1336458942 | Amar Rewari | Radiology | 20330 Seneca Meadows Pkwy, Germantown, MD 20876-7004 | 2010-09-30 |
1336451921 | Pranshu Mohindra | Radiology | 22 S Greene Street Gudelsky Basement, University of Maryland Medical Center, Baltimore, MD 21201-1544 | 2010-07-12 |
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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.