FREDERICK HEALTH MEDICAL GROUP LLC (NPI# 1780092916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780092916 |
| Entity Type | Organization |
| Organization Name | FREDERICK HEALTH MEDICAL GROUP LLC |
| Other Organization Name | MONOCACY HEALTH PARTNERS IMMEDIATE CARE URBANA |
| Practice Address |
3430 Worthington Blvd Frederick MD 21704-7017 |
| Practice Telephone | 3018742163 |
| Mailing Telephone | 3018742163 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | MICHELLE MAHAN (SR. VP AND CFO) |
| Authorized Official Telephone | 2405663355 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDERICK HEALTH MEDICAL GROUP LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Frederick Health Medical Group | Doing Business As Name - Organization |
| Monocacy Health Partners Immediate Care Urbana | 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 |
| 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 |
| 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 |
3430 WORTHINGTON BLVD |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704-7017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511440 | Yvonne Townsley Anderson | Physical Therapist | 3430 Worthington Blvd, Suite 102, Frederick, MD 21704-7017 | 2005-07-11 |
| 1750748919 | Frederick Health Hospital Inc | Physical Therapist | 3430 Worthington Blvd, Frederick, MD 21704-7017 | 2016-01-19 |
| 1124496161 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 3430 Worthington Blvd, Frederick, Frederick, MD 21704-7017 | 2015-09-08 |
| 1700268356 | Aneeqa Idrees | Family Medicine | 3430 Worthington Blvd, Frederick, MD 21704 | 2015-06-19 |
| 1376830182 | Zoe L Ajebon | Family Medicine | 3430 Worthington Blvd, Suite 103, Frederick, MD 21704-7017 | 2011-06-30 |
| 1295915981 | Rest Assured Sleep Centers, LLC | Durable Medical Equipment & Medical Supplies | 3430 Worthington Blvd, Suite 205, Frederick, MD 21704-7017 | 2007-11-09 |
| 1801814116 | Heather S Hall | Physician Assistant | 3430 Worthington Blvd, Suite 103, Frederick, MD 21704-7017 | 2006-07-17 |
| 1568436426 | Bonnie Fitleberg | Family Medicine | 3430 Worthington Blvd, Suite 103, Frederick, MD 21704-7017 | 2006-02-15 |
| 1679551816 | B Adam Shanes | Family Medicine | 3430 Worthington Blvd, Frederick, MD 21704-7017 | 2006-01-06 |
| 1932190485 | Diana Juliano | Family Medicine | 3430 Worthington Blvd, Suite 103, Frederick, MD 21704-7017 | 2005-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024101 | Catholic Health Initiatives Colorado | Clinic/Center | 4943 Hwy 52, Frederick, CO 80514 | 2020-02-05 |
| 1841782836 | Frederick Health Medical Group LLC | Clinic/Center | 501 W 7th St, Frederick, MD 21701-4586 | 2018-06-05 |
| 1235584152 | U.n.i. Medical Care, Inc | Clinic/Center | 1305 W 7th St, Suite 28, Frederick, MD 21702-4102 | 2016-04-28 |
| 1285934570 | P. Pham and J. Briggs LLC | Clinic/Center | 5100 Buckeystown Pike, Frederick, MD 21704-8336 | 2010-11-02 |
| 1528187317 | Monocacy Emergency Physicians PC | Clinic/Center | 5930 Frederick Crossing Ln, Frederick, MD 21704-5137 | 2007-03-29 |
| 1386640357 | Frederick Memorial Hospital Inc | Clinic/Center | 850 Oak St, Frederick, MD 21703-8442 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524626 | Umms Ambulatory Care LLC | Clinic/Center | 28522 Marlboro Ave Ste C, Easton, MD 21601-2792 | 2020-10-07 |
| 1558968065 | Umms Ambulatory Care LLC | Clinic/Center | 1528 Rock Spring Rd Ste 100, Forest Hill, MD 21050-2861 | 2020-10-07 |
| 1245858240 | Quick Care Clinic Usa. LLC | Clinic/Center | 1807 Pennsylvania Ave, Baltimore, MD 21217-3214 | 2020-07-07 |
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1306474853 | Greater Baltimore Medical Center, Inc. | Clinic/Center | 63 E Padonia Rd Ste 125, Timonium, MD 21093-2306 | 2020-03-31 |
| 1174168033 | Rightplace Family Clinic | Clinic/Center | 8640 Guilford Rd Ste 233, Columbia, MD 21046-2664 | 2019-11-14 |
| 1215588686 | Mnr Industries, LLC | Clinic/Center | 615 Belair Rd, Ste Y, Bel Air, MD 21014-4311 | 2019-09-26 |
| 1780156455 | Statcare Group, LLC | Clinic/Center | 130 Hospital Rd Ste 102, Prince Frederick, MD 20678-4029 | 2018-12-19 |
| 1508338286 | Statcare Group, LLC | Clinic/Center | 14090 Hg Trueman Rd # 1300, Solomons, MD 20688-3151 | 2018-12-19 |
| 1871065540 | Statcare Group, LLC | Clinic/Center | 10845 Town Center Blvd Ste 108, Dunkirk, MD 20754-2712 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FREDERICK HEALTH MEDICAL GROUP LLC.
| 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.