FREDERICK HEALTH MEDICAL GROUP LLC (NPI# 1598317893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598317893 |
| Entity Type | Organization |
| Organization Name | FREDERICK HEALTH MEDICAL GROUP LLC |
| Other Organization Name | MONOCACY HEALTH PARTNERS LLC |
| Practice Address |
501 W 7th St Frederick MD 21701-4586 |
| Mailing Address |
400 W 7th St Frederick MD 21701-4506 |
| Practice Telephone | 3013602574 |
| Mailing Telephone | 2405663337 |
| Mailing Fax Number | 2405664872 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | MICHELLE K. MAHAN (SR. VP AND CFO) |
| Authorized Official Telephone | 2405663337 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDERICK HEALTH MEDICAL GROUP LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Frederick Health Medical Group | Doing Business As Name - Organization |
| Monocacy Health Partners Integrated Behavioral Health | Doing Business As Name - Organization |
| Monocacy Health Partners LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063780633 | Frederick Health Medical Group LLC | Internal Medicine | 1562 Opossumtown Pike Ste 102, Frederick, MD 21702-4337 | 2011-12-09 |
| 1578831145 | Frederick Health Medical Group LLC | Urology | 1562 Opossumtown Pike Ste 301, Frederick, MD 21702-4337 | 2011-12-09 |
| 1851939052 | Frederick Health Medical Group LLC | Internal Medicine | 1562 Opossumtown Pike Ste 103, Frederick, MD 21702-4337 | 2019-12-18 |
| 1841782836 | Frederick Health Medical Group LLC | Clinic/Center | 501 W 7th St, Frederick, MD 21701-4586 | 2018-06-05 |
| 1659899979 | Frederick Health Medical Group LLC | Clinic/Center | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2017-09-07 |
| 1285156091 | Frederick Health Medical Group LLC | Nurse Practitioner | 501 W 7th St, Frederick, MD 21701-4586 | 2017-07-13 |
| 1073973012 | Frederick Health Medical Group LLC | Dentist | 516 Trail Ave, Frederick, MD 21701-4942 | 2016-03-03 |
| 1780092916 | Frederick Health Medical Group LLC | Clinic/Center | 3430 Worthington Blvd, Frederick, MD 21704-7017 | 2014-07-31 |
| 1720496573 | Frederick Health Medical Group LLC | Internal Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2014-07-24 |
| 1457793424 | Frederick Health Medical Group LLC | Psychiatry & Neurology | 400 W 7th St, Frederick, MD 21701-4506 | 2013-07-19 |
| Street Address |
501 W 7TH ST |
| 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 |
| 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 |
| 1043701535 | Andrea Backes | Pharmacist | 501 W 7th St, Frederick, MD 21701-4586 | 2018-05-21 |
| Find all providers in the same location | ||||
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169548 | Bradley Shearer | Counselor | 6087 Flagstone Ct, Frederick, MD 21701-5847 | 2020-09-23 |
| 1144853847 | Caroline Carey | Counselor | 6540 Newton Dr, Frederick, MD 21703-2747 | 2020-02-20 |
| 1093377525 | James Robert Rose | Counselor | 31 W Patrick St Apt 401, Frederick, MD 21701-5563 | 2019-07-04 |
| 1679059562 | David Sherwin | Counselor | 205 Broadway St Fl 2, Frederick, MD 21701-6501 | 2018-07-14 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1851828826 | Christina L Poff-long | Counselor | 1003 W 7th St Ste 200, Frederick, MD 21701-4106 | 2017-05-21 |
| 1215461397 | Carter Caring Counseling | Counselor | 721 Holden Rd, Frederick, MD 21701-3406 | 2017-04-17 |
| 1184165904 | Frederick Center for Marriage and Family Therapy, LLC | Counselor | 129 E Patrick St # 25, Frederick, MD 21701-6172 | 2017-03-13 |
| 1073052593 | Nicole Lynn Simpson | Counselor | 5479 Shoshone Dr, Frederick, CO 80504-5815 | 2017-02-16 |
| 1578016473 | Jennifer Tibbs | Counselor | 6721 Sandpiper Ct, Frederick, MD 21703-7178 | 2016-07-27 |
| 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.