Maryland Medical Services LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

D41717 Issued in MD

Legal business name

MARYLAND MEDICAL SERVICES LLC

Practice address

1090 W Patrick St
Unit 2a
Frederick, MD 21703-3967

Phone

(301) 663-0757

Fax

(301) 662-0725

NPI assigned

Nov 19, 2012

Last updated

Nov 19, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maritza Yeron

Title

Office Manager

Phone

(301) 662-0757

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Maryland Medical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Maryland Medical Services LLC

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1245521038
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard George Yeron, MD

  • Adult Medicine Physician
  • Frederick, MD
  • NPI 1851499784
  Medicare reassignment NPD
• Nikki L Deboer, CRNP

  • Family Nurse Practitioner
  • Waynesboro, PA
  • NPI 1356878540
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1306180013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 W PATRICK ST",
            "address_2": "UNIT 2A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033967",
            "telephone_number": "301-663-0757",
            "fax_number": "301-662-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 W PATRICK ST",
            "address_2": "UNIT 2A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033967",
            "telephone_number": "301-663-0757",
            "fax_number": "301-662-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "YERON",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-662-0757"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D41717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryland Family Health Services, LLC
• Maryland Grocery Store Company (Giant Eagle Pharmacy 1841)
• Maryland Grocery Store Company (Giant Eagle Pharmacy 1842)
• Maryland Home Care Solutions, Inc. (Home Instead Senior Care)
• Maryland Medical Services LLC
• Maryland Nutrition and Diet Services, L.L.C.
• Maryland Oncology Hematology
• Maryland Oncology Hematology, P.a.
• Maryland Oncology Hematology, P.a.
• Maryland Oncology Hematology, P.a.

• Primary Care Clinic/Center in Frederick, MD
• Providers in Frederick, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.