Active NPI
Menocal Medical Services PA
- Family Medicine Physician
- Hagerstown, MD
National Provider Identifier
1679367247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MENOCAL MEDICAL SERVICES PA
- Practice address
- 13204 Fountain Head PLZ
Hagerstown, MD 21742-2678 - Phone
- (240) 730-2600
- NPI assigned
- Apr 8, 2025
- 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
- Julio J Menocal
- Title
- Owner
- Phone
- (240) 215-1138
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
13204 Fountain Head PLZ
Hagerstown, MD 21742-2678
Mailing address
1050 Key Pkwy Ste 102
Frederick, MD 21702-4496
Phone (240) 215-1138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 532403300 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Menocal Medical Services PA
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Hagerstown, MD
- NPI 1013831387
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1558155135
-
- Family Medicine Physician
- Salisbury, MD
- NPI 1821882499
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1730044025
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744070400000",
"number": "1679367247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 KEY PKWY STE 102",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024496",
"telephone_number": "240-215-1138",
"fax_number": "240-215-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13204 FOUNTAIN HEAD PLZ",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422678",
"telephone_number": "240-730-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENOCAL MEDICAL SERVICES PA",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A",
"authorized_official_last_name": "MENOCAL",
"authorized_official_first_name": "JULIO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-215-1138"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "532403300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.