POTOMAC MEDICAL LLC (NPI# 1487794673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487794673 |
| Entity Type | Organization |
| Organization Name | POTOMAC MEDICAL LLC |
| Other Organization Name | ATLANTIC MEDICAL SUPPLY |
| Practice Address |
420 E Patrick St Suite 200 Frederick MD 21701-5658 |
| Practice Telephone | 3016827800 |
| Mailing Telephone | 3016827800 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ERIC JAMES BURKHOLDER (PRESIDENT) |
| Authorized Official Telephone | 3016987420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | D01537 | MD | Suppliers |
| Other Name | Type Code |
|---|---|
| Atlantic Medical Supply | Doing Business As Name - Organization |
| Street Address |
420 E PATRICK ST SUITE 200 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-5658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396051496 | Lisa Gwynn Paar | Counselor | 420 E Patrick St, Suite 100, Frederick, MD 21701-5658 | 2010-08-26 |
| 1992027726 | Serenity Treatment Center, Inc. | Clinic/Center | 420 E Patrick St, Frederick, MD 21701-5658 | 2010-02-21 |
| 1598978199 | Carroll Creek Health Care LLC | Pharmacy | 420 E Patrick St, Frederick, MD 21701-5658 | 2007-05-08 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535127 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 75 Thomas Johnson Drive, Suite C, Frederick, MD 21702-4895 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864489 | Welldoc, Inc. | Non-Pharmacy Dispensing Site | 10221 Wincopin Cir Ste 150, Columbia, MD 21044-3444 | 2019-10-30 |
| 1619444213 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 940 Seton Dr Ste A, Cumberland, MD 21502-1871 | 2018-11-01 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1003383720 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 6820 Hospital Dr Ste 302, Baltimore, MD 21237-4362 | 2018-10-31 |
| 1003383654 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 1838 Greene Tree Rd Ste 150, Pikesville, MD 21208-7100 | 2018-10-31 |
| 1629545272 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 510 Upper Chesapeake Dr Ste 415, Bel Air, MD 21014-4336 | 2018-10-31 |
| 1144744707 | Patient First Maryland Medical Group Pllc | Non-Pharmacy Dispensing Site | 6201 Annapolis Road, Landover Hills, MD 20784 | 2017-07-26 |
| 1093178923 | Jeffrey Y H Chung LLC | Non-Pharmacy Dispensing Site | 14201 Laurel Park Dr Ste 104, Laurel, MD 20707-5203 | 2016-03-29 |
| 1922469865 | Choice Pain & Rebabilitation Center LLC | Non-Pharmacy Dispensing Site | 5102 Cornelias Prospect Dr, Bowie, MD 20720-3375 | 2016-03-18 |
| 1871967414 | Annapolis Foot and Ankle Center | Non-Pharmacy Dispensing Site | 130 Love Point Rd Ste 103, Stevensville, MD 21666-2132 | 2015-11-19 |
| 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.