FREDERICK MEMORIAL HOSPITAL INC (NPI# 1477866127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477866127 |
| Entity Type | Organization |
| Organization Name | FREDERICK MEMORIAL HOSPITAL INC |
| Other Organization Name | FREDERICK UROLOGY SPECIALISTS |
| Practice Address |
900 Toll House Ave Frederick MD 21701-4547 |
| Practice Telephone | 3016634774 |
| Practice Fax Number | 3016951364 |
| Mailing Telephone | 3016634774 |
| Mailing Fax Number | 3016951364 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2011-09-26 |
| Authorized Official Name | MICHELLE K MAHAN (VICE PRESIDENT) |
| Authorized Official Telephone | 2405663355 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDERICK MEMORIAL HOSPITAL INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Frederick Urology Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922434067 | Frederick Memorial Hospital Inc | Clinic/Center | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-09-20 |
| 1285069427 | Frederick Memorial Hospital Inc | Dietitian, Registered | 5500 Buckeystown Pike, Frederick, MD 21703-8331 | 2013-09-06 |
| 1730525775 | Frederick Memorial Hospital Inc | Physical Therapist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-05-17 |
| 1316290422 | Frederick Memorial Hospital Inc | Surgery | 7211 Bank Ct, Frederick, MD 21703-8483 | 2012-10-26 |
| 1083998348 | Frederick Memorial Hospital Inc | Orthopaedic Surgery | 52 Thomas Johnson Dr, Frederick, MD 21702-4501 | 2011-10-05 |
| 1568781821 | Frederick Memorial Hospital Inc | Pain Medicine | 516 Trail Ave, Frederick, MD 21701-4942 | 2010-05-26 |
| 1215265996 | Frederick Memorial Hospital Inc | Pediatrics | 400 W 7th St, Frederick, MD 21701-4506 | 2009-11-18 |
| 1437389830 | Frederick Memorial Hospital Inc | Surgery | 1564 Opossumtown Pike, Frederick, MD 21702-4359 | 2009-07-20 |
| 1326299835 | Frederick Memorial Hospital Inc | Emergency Medicine | 400 W 7th St, Frederick, MD 21701-4506 | 2008-10-02 |
| 1790950871 | Frederick Memorial Hospital Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 501 W 7th St, Suite D, Frederick, MD 21701-4586 | 2008-04-29 |
| Street Address |
900 TOLL HOUSE AVE |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-4547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760473599 | Robert D Crouch, Md, Pa | Urology | 900 Toll House Ave, Frederick, MD 21701-4547 | 2005-11-01 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578831145 | Frederick Health Medical Group LLC | Urology | 1562 Opossumtown Pike Ste 301, Frederick, MD 21702-4337 | 2011-12-09 |
| 1174750970 | Mohammed Haseebuddin | Urology | 184 Thomas Johnson Dr Ste 201, Frederick, MD 21702-4562 | 2009-06-18 |
| 1588708267 | Jared R. Berkowitz | Urology | 1562 Opossumtown Pike Fl 3, Frederick, MD 21702 | 2007-02-16 |
| 1760473599 | Robert D Crouch, Md, Pa | Urology | 900 Toll House Ave, Frederick, MD 21701-4547 | 2005-11-01 |
| 1851393896 | Mark Xavier Coyne | Urology | 186 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4305 | 2005-08-10 |
| 1972077261 | Family Urology Associates | Urology | 184 Thomas Johnson Dr Ste 201, Frederick, MD 21702-4562 | 2019-01-19 |
| 1023293826 | Mohammed M Mohiuddin | Urology | 801 Toll House Ave, Bldg B2, Frederick, MD 21701 | 2007-12-31 |
| 1871781435 | Bert Williams M.d. LLC | Urology | 97 Thomas Johnson Dr, Suite 102, Frederick, MD 21702-4379 | 2007-10-09 |
| 1225258205 | Mark X Coyne Md Pa | Urology | 186 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4305 | 2007-05-01 |
| 1528113040 | Cynthia J. Moorman, M.d., P.a. | Urology | 77 Thomas Johnson Dr, Suite K, Frederick, MD 21702-4893 | 2007-01-24 |
| Find all providers in FREDERICK | ||||
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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.