NPIMap

Organization Active NPI

Frederick Health Medical Group LLC

Doing business as Frederick Health Medical Group

  • Medical Oncology Physician
  • Frederick, MD
National Provider Identifier
1851939052
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
FREDERICK HEALTH MEDICAL GROUP LLC
Doing business as
Frederick Health Medical Group
Practice address
1562 Opossumtown Pike Ste 103
Frederick, MD 21702-4337
Phone
(240) 566-4500
NPI assigned
Dec 18, 2019
Last updated
Jan 24, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
FREDERICK HEALTH MEDICAL GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Michelle K. Mahan
Title
Sr. VP and Cfo
Phone
(240) 566-3337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X NU Primary

Addresses

Primary practice location

1562 Opossumtown Pike Ste 103
Frederick, MD 21702-4337

Mailing address

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3337

Other names 2

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

National Provider Directory

National Provider Directory
Tax ID family
Frederick Health Med GRP33 organizations share this tax ID, including this one
Part of
Frederick Health Med GRP

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1851939052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "240-566-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 OPOSSUMTOWN PIKE STE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024337",
            "telephone_number": "240-566-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK HEALTH MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERICK HEALTH MEDICAL GROUP LLC",
        "enumeration_date": "2019-12-18",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "SR. VP AND CFO",
        "authorized_official_telephone_number": "240-566-3337"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monocacy Health Partners LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.