Provider Type Icon

OLD FASHION MEDICINE INC NPI 1649775933


NPI Information

NPI: 1649775933
Provider Name: OLD FASHION MEDICINE, INC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
95 GATEPOST LANE
APARTMENT 1B
FREDERICK, MD
ZIP 21701
Phone: (240) 409-3348
Get Directions

OLD FASHION MEDICINE, INC is a geriatric medicine internal medicine in Frederick, MD. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. OLD FASHION MEDICINE, INC NPI is 1649775933. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

95 GATEPOST LANE
APARTMENT 1B
FREDERICK, MD
ZIP 21701
Phone: (240) 409-3348

The provider's authorized official is John Allen Reilly .
The authorized official title is Owner/physician and has the following contact phone number (240) 409-3348.

The enumeration date for this NPI number is 3/28/2018 and was last updated on 6/21/2018.


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
1207RG0300XInternal MedicineGeriatric MedicineD0054749MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12853027000MEDICAIDMARYLAND

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.