Active NPI
Medhub Healthcare Inc
- Registered Nurse
- Frederick, MD
National Provider Identifier
1619586807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- MEDHUB HEALTHCARE INC
- Practice address
- 4070 Atterbury PL
Frederick, MD 21704-7401 - Phone
- (240) 409-9611
- NPI assigned
- Jul 23, 2020
- Last updated
- Jul 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Danah Jack, DPT
- Title
- President
- Phone
- (240) 409-9611
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Home Health Aide | 374U00000X | NU | ||
| Nurse's Aide | 376K00000X | NU | ||
| Registered Nurse | 163W00000X | NU | Primary | |
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU |
Addresses
Primary practice location
4070 Atterbury PL
Frederick, MD 21704-7401
Mailing address
5257 Buckeystown Pike # 257
Frederick, MD 21704-7535
Phone (240) 409-9611
National Provider Directory
National Provider DirectoryLocations
5257 Buckeystown Pike
Frederick, MD 21704
Phone (240) 543-5182
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Frederick, MD
- NPI 1144747148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595462400000",
"number": "1619586807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5257 BUCKEYSTOWN PIKE # 257",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047535",
"telephone_number": "240-409-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4070 ATTERBURY PL",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047401",
"telephone_number": "240-409-9611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDHUB HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A",
"authorized_official_last_name": "JACK",
"authorized_official_first_name": "DANAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "240-409-9611",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
- Adam Mitchell Mecinski, MD
- Travis Meckley, OT
- Med Tel International Corporation (Wide Open MRI)
- Med-Pharm Home Care LLC
- Medexpress Urgent Care, PC - Maryland (MedExpress Urgent Care - Frederick, Baughmans Ln)
- Medical Account Services
- Medical Practices of Antietam LLC
- Medical Practices of Antietam LLC
- Medical Practices of Antietam LLC
- Medical Practices of Antietam LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.