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FREDERICK HEALTH MEDICAL GROUP LLC NPI 1801235015


NPI Information

NPI: 1801235015
Provider Name: FREDERICK HEALTH MEDICAL GROUP LLC

Doing Business As: SURGICAL SPECIALISTS

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
75 THOMAS JOHNSON DR
FREDERICK, MD
ZIP 21702
Phone: (301) 695-3100
Get Directions

FREDERICK HEALTH MEDICAL GROUP LLC is a surgery in Frederick, MD. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. FREDERICK HEALTH MEDICAL GROUP LLC NPI is 1801235015. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Surgical Specialists.

The provider's business location address is:

75 THOMAS JOHNSON DR
FREDERICK, MD
ZIP 21702-895
Phone: (301) 695-3100
Fax: (240) 575-2527

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

The enumeration date for this NPI number is 6/20/2013 and was last updated on 2/24/2022.


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
1207RG0100XInternal MedicineGastroenterologyNo
2207T00000XNeurological SurgeryNo
32085B0100XRadiologyBody ImagingNo
42085D0003XRadiologyDiagnostic NeuroimagingNo
52085R0202XRadiologyDiagnostic RadiologyNo
62085U0001XRadiologyDiagnostic UltrasoundNo
72355A2700XSpecialist/TechnologistAudiology AssistantNo
82471C3401XRadiologic TechnologistComputed TomographyNo
92471M1202XRadiologic TechnologistMagnetic Resonance ImagingNo
10208600000XSurgeryYes

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
1336554900MEDICAIDMARYLAND

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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