Obhg Maryland PC
Organization Active NPI Obstetrics & Gynecology Physician · Frederick, MD
NPI 1184480097 · NPPES record last updated Feb 27, 2024
Key facts
- NPI
- 1184480097
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- OBHG MARYLAND PC
- Practice address
- 400 W 7TH St
Frederick, MD 21701-4506 - Phone
- (864) 908-3530
- NPI assigned
- Feb 27, 2024
- Organization subpart
- No
Authorized official
- Name
- Denise Burns
- Title
- Assistant Secretary
- Phone
- (864) 908-3604
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 5
Practitioners 11
-
Muna Tosnim Alam, DO
-
David Ghadisha, MD
-
Sarah Elizabeth Robles, WHNP
-
Mairi Breen Rothman, CNM MSN
-
Anne Burdeshaw Shrout, M.D.
-
Eleazar O'Garro, D.O.
-
Alan Rosenbaum, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120703000447 | MD | Part B Supplier - Clinic/Group Practice | 3577728211 |
Receives reassigned benefits from 106 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baltimore, MD; Bel Air, MD; Easton, MD; Frederick, MD; Westminster, MD |
National Provider Directory
- Tax ID family
- Obhg Maryland PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | Yes | ||
| Hospitalist Physician |
208M00000X |
Addresses
Primary practice location
400 W 7TH St
Frederick, MD 21701-4506
Mailing address
777 Lowndes Hill Rd BLDG 1
Greenville, SC 29607-2101
Phone (864) 908-3530
Other providers in Frederick, MD
- Frank C Oben Nguembou
- Mary Michele Obenland
- James Phillip Oberman
- Margaret Perusse Oberman
- OBGYN Center of Frederick, P.a.
- Francisca Chinasa Obodo
- Occupational Therapy Consulting, LLC
- Diane Marie Ochalek
- Beatrice A Ochieng
- Rachel Oddoye
All providers in Frederick, MD · Obstetrics & Gynecology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.