Frederick Health Medical Group LLC
Organization Active NPI Surgery Physician · Frederick, MD
NPI 1801235015 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1801235015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- FREDERICK HEALTH MEDICAL GROUP LLC
- Practice address
- 75 Thomas Johnson Dr
Frederick, MD 21702-4895 - Phone
- (301) 695-3100
- Fax
- (240) 575-2527
- NPI assigned
- Jun 20, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- FREDERICK HEALTH MEDICAL GROUP LLC
Authorized official
- Name
- Jenny Fitzpatrick
- Title
- Director, Professional Fees Revenue
- Phone
- (240) 439-8774
Other NPIs on the same Medicare enrollment 40
Corporate family (same tax ID) 32
Practitioners 14
-
Lev Agarunov, M.D.
-
Elizabeth Ann Arnone, CRNP
-
Kristin A Conley, DO
-
Sira Diakite, NP
-
Garima Narayen, D.O.
-
Jeanette Owusu, M.D.
-
Tricia Pastore-Bard, AU.D.
-
Lisa Ann Zecher, LCSW-C
-
Elizabeth Baker, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130820000555 | MD | Part B Supplier - Clinic/Group Practice | 9931341096 |
Receives reassigned benefits from 296 practitioners 41 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Frederick, MD; Ijamsville, MD; Mount Airy, MD; Myersville, MD; Walkersville, MD; Adamstown, MD; Brunswick, MD; Emmitsburg, MD |
National Provider Directory
- Tax ID family
- Monocacy Health Partners LLC
- Part of
- Monocacy Health Partners LLC
Locations
75 Thomas Johnson Dr
Ste A
Frederick, MD 21702
Phone (301) 695-3100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | |||
| Neurological Surgery Physician |
207T00000X | |||
| Body Imaging Physician |
2085B0100X | |||
| Diagnostic Neuroimaging (Radiology) Physician |
2085D0003X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Diagnostic Ultrasound Physician |
2085U0001X | |||
| Surgery Physician |
208600000X | Yes | ||
| Audiology Assistant |
2355A2700X | |||
| Computed Tomography Radiologic Technologist |
2471C3401X | |||
| Magnetic Resonance Imaging Radiologic Technologist |
2471M1202X |
Addresses
Primary practice location
75 Thomas Johnson Dr
Frederick, MD 21702-4895
Mailing address
400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 215-6310
Other names
- Surgical Specialists
Other providers in Frederick, MD
- Frederick Health Medical Group LLC
- Frederick Health Medical Group LLC
- Frederick Health Medical Group LLC
- Frederick Health Medical Group LLC
- Frederick Health Medical Group LLC
- Frederick Health Medical Group LLC
- Frederick Health Medical Group LLC
- Frederick Health Medical Group LLC
- Frederick Health Medical Group LLC
- Frederick Health Medical Group LLC
All providers in Frederick, MD · Surgery 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 Mar 11, 2026. 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.