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FREDERICK HEALTH MEDICAL GROUP LLC NPI 1205590155


NPI Information

NPI: 1205590155
Provider Name: FREDERICK HEALTH MEDICAL GROUP LLC
Classification: Internal Medicine - 207RH0000X
Entity Type: Organization

Specialization: Hematology

CLIA Number: 21D1082161

Address:
194 THOMAS JOHNSON DR
FREDERICK, MD
ZIP 21702
Phone: (301) 662-8477
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FREDERICK HEALTH MEDICAL GROUP LLC is a hematology internal medicine in Frederick, MD. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. FREDERICK HEALTH MEDICAL GROUP LLC NPI is 1205590155. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

194 THOMAS JOHNSON DR
FREDERICK, MD
ZIP 21702-679
Phone: (301) 662-8477

The provider's authorized official is Shelby Boggs .
The authorized official title is Vice President and has the following contact phone number (443) 721-4452.

The CLIA number assigned to this NPI record is 21D1082161 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/27/2021 and was last updated on 10/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0000XInternal MedicineHematologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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