FREDERICK HEALTH MEDICAL GROUP LLC


Address: 7211 Bank Ct, Frederick, MD 21703-8483
Phone: 3014186611

FREDERICK HEALTH MEDICAL GROUP LLC (NPI# 1770850547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770850547
Entity Type Organization
Organization Name FREDERICK HEALTH MEDICAL GROUP LLC
Other Organization Name CENTER FOR BREAST CARE
Practice Address 7211 Bank Ct
Frederick
MD 21703-8483
Practice Telephone 3014186611
Practice Fax Number 3014286620
Mailing Telephone 3014186611
Mailing Fax Number 3014286620
Enumeration Date 2011-11-22
Last Update Date 2020-01-24
Authorized Official Name MICHELLE K MAHAN (SR VP AND CFO)
Authorized Official Telephone 2405663355
Is Organization Subpart Y
Parent Organization Name FREDERICK HEALTH MEDICAL GROUP LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Center for Breast Care Doing Business As Name - Organization
Frederick Health Medical Group Doing Business As Name - Organization
Monocacy Health Partners LLC Former Legal Business Name - Organization

Other Provider IDs and Locations

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
1598317893 Frederick Health Medical Group LLC Social Worker 501 W 7th St, Frederick, MD 21701-4586 2019-07-16
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

Office Location

Street Address 7211 BANK CT
City FREDERICK
State MD
Zip Code 21703-8483

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396749834 Melissa M Asuncion X Family Medicine 7211 Bank Ct, Frederick, MD 21703-8483 2005-06-13
1396275244 Karl Benjamin Genovese Family Medicine 7211 Bank Ct, Frederick, MD 21703-8483 2017-06-14
1225570658 Marcia Wolfinger Counselor 7211 Bank Ct, Frederick, MD 21703-8483 2016-11-16
1295288546 Joanna Eaton Dietitian, Registered 7211 Bank Ct, Suite 240, Frederick, MD 21703-8483 2016-08-03
1710356829 Frederick Health Hospital Inc Clinical Medical Laboratory 7211 Bank Ct, Frederick, MD 21703-8483 2015-09-18
1871977793 Pratik Shah Internal Medicine 7211 Bank Ct, Frederick, MD 21703-8483 2015-07-10
1114305224 Katherine N Wyatt Fields Dietitian, Registered 7211 Bank Ct, Suite 240, Frederick, MD 21703-8483 2015-05-08
1720496573 Frederick Health Medical Group LLC Internal Medicine 7211 Bank Ct, Frederick, MD 21703-8483 2014-07-24
1275971178 Hassan Madani Family Medicine 7211 Bank Ct, Frederick, MD 21703-8483 2013-06-13
1780020735 Frederick Health Hospital Inc Occupational Therapist 7211 Bank Ct, Frederick, MD 21703-8483 2013-05-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861902959 Kenny Chen Optometrist 5283 Corporate Dr Ste 201, Frederick, MD 21703 2017-10-03
1578934550 Barbara Tarlowski Physical Therapy Assistant 347 Ballenger Center Drive, Frederick, MD 21703 2015-10-15
1679958813 Taiji Acupuncture Clinic Community Based Residential Treatment Facility, Mental Illness 1411 Bluewing Ct, Frederick, MD 21703 2015-07-29
1609283050 Green Ridge Behavioral Health, LLC Psychiatry & Neurology 5216 Chairmans Court, Suite 102, Frederick, MD 21703 2014-07-17
1841597705 Jennifer Anne Dye Speech-Language Pathologist 5312 Ballenger Creek Pike, Frederick, MD 21703 2011-02-11
1568794790 Andersons Community Healthcare Services Inc Nursing Care 4727 Verdana Loop, Frederick, MD 21703 2010-02-15
1962672782 Service Coordination Inc Case Management 5303 Spectrum Drive, Suite I, Frederick, MD 21703 2008-03-07
1396877189 Health and Happiness LLC Psychologist 93 S Mccain Drive, Frederick, MD 21703 2007-03-09
1275629776 Mary Bernadette Sheehy Nurse Practitioner Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 2006-10-04
1720185218 Rea and Derick Inc P 1835 Pharmacy 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 2006-09-19
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750520888 Jasmine Malcolm Surgery 174 Thomas Johnson Dr Ste 100, Frederick, MD 21702-4569 2009-02-12
1629271374 Christine Kathryn Harris Surgery 7211 Bank Ct Ste 110, Frederick, MD 21703-8479 2007-06-08
1003877515 Jesus Esquivel Surgery 7211 Bank Ct Ste 200, Frederick, MD 21703-8481 2006-04-01
1477522472 Kelly Ann Shine Surgery 74 Thomas Johnson Dr, Frederick, MD 21702-4300 2006-03-14
1871571976 Leonard Surgical Care Associates, LLC Surgery 501 W Seventh St, Suite D, Frederick, MD 21701-4507 2006-01-09
1518593797 Phoenix Surgical Care LLC Surgery 174 Thomas Johnson Dr Ste 100, Frederick, MD 21702-4569 2020-03-19
1326491291 Usman Waheed, M.d., P.a. Surgery 110 Baughmans Ln, Frederick, MD 21702-4059 2016-07-15
1801235015 Frederick Health Medical Group LLC Surgery 501 W 7th St, Frederick, MD 21701-4586 2013-06-20
1619314291 Michael D. Winton Surgery 501 W 7th St, Frederick, MD 21701-4586 2013-05-23
1316290422 Frederick Memorial Hospital Inc Surgery 7211 Bank Ct, Frederick, MD 21703-8483 2012-10-26
Find all providers in FREDERICK

Competitor

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City FREDERICK
Zip Code 21703

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Dataset Information

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.

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