FREDERICK MEMORIAL HOSPITAL INC (NPI# 1801893235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801893235 |
| Entity Type | Organization |
| Organization Name | FREDERICK MEMORIAL HOSPITAL INC |
| Other Organization Name | ONCOLOGY CARE CONSULTANTS |
| Practice Address |
501 W 7th St Suite 1a Frederick MD 21701-4507 |
| Practice Telephone | 3016628477 |
| Practice Fax Number | 3016685793 |
| Mailing Telephone | 3016628477 |
| Mailing Fax Number | 3016685793 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. JOHN R. VERBUS (COO) |
| Authorized Official Telephone | 2405663350 |
| 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 | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
========= | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA PVN | 2090032 | 01 | |
| UNITED | 1790776 | 01 | |
| CAREFIRST BCBS MARYLAND | KE81 | 01 | |
| NCPPO | 636300 | 01 | |
| CAREFIRST BCBS GHMSI | W575 | 01 | |
| UNITED MAMSI | 355410 | 01 |
| Other Name | Type Code |
|---|---|
| Oncology Care Consultants | 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 |
| 1477866127 | Frederick Memorial Hospital Inc | Urology | 900 Toll House Ave, Frederick, MD 21701-4547 | 2010-07-23 |
| 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 |
| Street Address |
501 W 7TH ST SUITE 1A |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-4507 |
| 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 |
| 1598317893 | Frederick Health Medical Group LLC | Social Worker | 501 W 7th St, Frederick, MD 21701-4586 | 2019-07-16 |
| 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 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205371135 | Giovanni Melillo | Internal Medicine | 2554 Bear Den Rd, Frederick, MD 21701-5230 | 2017-01-02 |
| 1457403644 | Frederick Oncology Hematology Associates, P.C. | Internal Medicine | 46 Bthomas Johnson Drive, Suite 200, Frederick, MD 21702-4300 | 2007-01-17 |
| 1992871289 | Sadaf Taimur | Internal Medicine | 46b Thomas Johnson Dr Ste 200, Frederick, MD 21702-4501 | 2006-11-28 |
| 1194898791 | Yun W. Oh | Internal Medicine | 46b Thomas Johnson Dr Suite 200, Frederick, MD 21702-5104 | 2006-11-15 |
| 1528069226 | Kanan H Hudhud | Internal Medicine | 46b Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4300 | 2005-08-03 |
| 1578959615 | Progressive Oncology and Hematology Center LLC | Internal Medicine | 915 Toll House Ave, Suite 305, Frederick, MD 21701-5930 | 2015-04-14 |
| 1336227628 | Kenneth Alvin Bertram | Internal Medicine | 1434 Porter St, Barquist Army Health Clinic, Frederick, MD 21702-9210 | 2006-11-02 |
| 1528050473 | Elhamy D. Eskander | Internal Medicine | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2005-08-17 |
| 1174515050 | Brian O'connor | Internal Medicine | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2005-08-17 |
| 1942292826 | Paul Gregory Rausch | Internal Medicine | 501 W 7th St, Suite 1a, Frederick, MD 21701-4507 | 2005-08-17 |
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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.