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Frederick Health Medical Group LLC

Organization Active NPI Family Medicine Physician · Frederick, MD

NPI 1821366493 · NPPES record last updated Jan 24, 2020

Key facts

NPI
1821366493
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
FREDERICK HEALTH MEDICAL GROUP LLC
Practice address
194 Thomas Johnson Dr
Frederick, MD 21702-4679
Phone
(301) 663-3137
Fax
(301) 695-6939
NPI assigned
Dec 9, 2011
Organization subpart
Yes
Parent organization (as reported)
FREDERICK HEALTH MEDICAL GROUP LLC

Authorized official

Name
Michelle Mahan
Title
Sr. VP and Cfo
Phone
(240) 566-3355

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Part of
Monocacy Health Partners LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

194 Thomas Johnson Dr
Frederick, MD 21702-4679

Mailing address

194 Thomas Johnson Dr
Frederick, MD 21702-4679
Phone (301) 663-3137

Other names

  • Frederick Health Medical Group Doing business as
  • Monocacy Health Partners LLC Former legal business name

Other providers in Frederick, MD

All providers in Frederick, MD · Family Medicine Physician in Maryland

Sources for this page

Verify at the official NPI Registry.