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FREDERICK HEALTH MEDICAL GROUP LLC NPI 1578831145


NPI Information

NPI: 1578831145
Provider Name: FREDERICK HEALTH MEDICAL GROUP LLC

Doing Business As: FREDERICK UROLOGY SPECIALISTS

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 21D0220520

Address:
1562 OPOSSUMTOWN PIKE STE 301
FREDERICK, MD
ZIP 21702
Phone: (301) 663-4774
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FREDERICK HEALTH MEDICAL GROUP LLC is an urology in Frederick, MD. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. FREDERICK HEALTH MEDICAL GROUP LLC NPI is 1578831145. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Frederick Urology Specialists.

The provider's business location address is:

1562 OPOSSUMTOWN PIKE STE 301
FREDERICK, MD
ZIP 21702-337
Phone: (301) 663-4774
Fax: (301) 695-1364

The provider's authorized official is Michelle K Mahan .
The authorized official title is Sr. Vp And Cfo and has the following contact phone number (240) 566-3355.

The CLIA number assigned to this NPI record is 21D0220520 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2011 and was last updated on 1/24/2020.


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
1208800000XUrologyYes

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: 4/28/2024

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