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FREDERICK HEALTH MEDICAL GROUP LLC NPI 1619258225


NPI Information

NPI: 1619258225
Provider Name: FREDERICK HEALTH MEDICAL GROUP LLC

Doing Business As: FREDERICK HEALTH MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
194 THOMAS JOHNSON DR
FREDERICK, MD
ZIP 21702
Phone: (240) 215-6310
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FREDERICK HEALTH MEDICAL GROUP LLC 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. FREDERICK HEALTH MEDICAL GROUP LLC NPI is 1619258225. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Frederick Health Medical Group.

The provider's business location address is:

194 THOMAS JOHNSON DR
FREDERICK, MD
ZIP 21702-679
Phone: (240) 215-6310

The provider's authorized official is Shelby Boggs .
The authorized official title is Avp, Clinical Int. & Payor Contract and has the following contact phone number (240) 566-3557.

The enumeration date for this NPI number is 9/9/2011 and was last updated on 10/23/2023.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
2208600000XSurgeryNo
3208800000XUrologyNo
4207R00000XInternal MedicineNo
5207RH0003XInternal MedicineHematology & OncologyNo
6207T00000XNeurological SurgeryNo
7207X00000XOrthopaedic SurgeryNo
8207Y00000XOtolaryngologyNo
92085B0100XRadiologyBody ImagingNo
102085D0003XRadiologyDiagnostic NeuroimagingNo
112085R0202XRadiologyDiagnostic RadiologyNo
12207Q00000XFamily MedicineYes

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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