MENOCAL MEDICAL SERVICES PA NPI 1083795918

NPI Information

  • NPI: 1083795918
  • Provider Name: MENOCAL MEDICAL SERVICES PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 21D2255018
  • Address: 1050 KEY PKWY STE 102
    FREDERICK, MD
    ZIP 21702
  • Phone: (240) 215-1138

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NPI Details

MENOCAL MEDICAL SERVICES PA is a family medicine in Frederick, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MENOCAL MEDICAL SERVICES PA NPI is 1083795918. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1050 KEY PKWY STE 102
FREDERICK, MD
ZIP 21702-496
Phone: (240) 215-1138
Fax: (240) 215-1140

The provider's authorized official is Julio Jose Menocal .
The authorized official title is President and has the following contact phone number (240) 215-1138.

The CLIA number assigned to this NPI record is 21D2255018 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 4/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineD31912MARYLANDYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1532403300MEDICAIDMARYLAND

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: 11/21/2025

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