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Frederick Health Medical Group LLC

Organization Active NPI Registered Dietitian · Frederick, MD

NPI 1043102205 · NPPES record last updated Jul 21, 2025

Key facts

NPI
1043102205
Entity type
Organization (NPI type 2)
Primary specialty
Registered Dietitian 133V00000X
Legal business name
FREDERICK HEALTH MEDICAL GROUP LLC
Practice address
1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone
(240) 215-6310
NPI assigned
Jul 21, 2025
Organization subpart
No

Authorized official

Name
Shelby Boggs
Title
Avp
Phone
(240) 315-3423

Corporate family (same tax ID) 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

National Provider Directory

Tax ID family
Monocacy Health Partners LLC (33 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193200000X MULTI-SPECIALTY GROUP		 133V00000X Yes

Addresses

Primary practice location

1562 Opossumtown Pike
Frederick, MD 21702-4920

Mailing address

1 Frederick Health Way
Frederick, MD 21701-9435

Other names

  • Frederick Health Medical Group Doing business as

Other providers in Frederick, MD

All providers in Frederick, MD · Registered Dietitian in Maryland

Sources for this page

Verify at the official NPI Registry.