FREDERICK HEALTH MEDICAL GROUP LLC
NPI 1447528013
Clinic/Center - Urgent Care in Frederick, MD
NPI Status: Active since December 09, 2011
Contact Information
501 W 7TH ST
FREDERICK, MD
ZIP 21701
Phone: (240) 215-6310
Fax: (301) 365-2581
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 21D2135521
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-22-2025
About FREDERICK HEALTH MEDICAL GROUP LLC
This page provides the complete NPI Profile along with additional information for Frederick Health Medical Group Llc, a provider established in Frederick, Maryland operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1447528013 assigned on December 2011. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Frederick Health Medical Group Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's former legal business name is Monocacy Health Partners Llc. The authorized official of this NPI record is Michelle K Mahan (Sr Vp And Cfo)
- NPI
- 1447528013
- Provider Legal Name
- FREDERICK HEALTH MEDICAL GROUP LLC
- Other Organization Name
- MONOCACY HEALTH PARTNERS LLC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 501 W 7TH ST FREDERICK, MD 21701
- Location Phone
- (240) 215-6310
- Location Fax
- (301) 365-2581
- Mailing Address
- 501 W 7TH ST FREDERICK, MD 21701
- Mailing Phone
- (240) 215-6310
- Mailing Fax
- (301) 365-2581
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-09-2011
- Last Update Date
- 01-24-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2135521
- Facility Type
- Physician Office
- Certificate Effective Date
- August 23, 2023
- Certificate Expiration Date
- August 22, 2025
- Laboratory Director
- G JOHNSON KOILPILLAI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Frederick Health Medical Group Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 4 | 7 | 5 | 2 | 8 | 0 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 10 | 2 | 16 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 8 + 7 + 1 + 0 + 2 + 1 + 6 + 0 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1447528013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477550986 | DR. KWOK C. LEE MD Individual | Radiology (Radiation Oncology) | 501 W 7TH ST STE 2 FREDERICK, MD 21701 (240) 566-3400 |
| 1942292826 | PAUL GREGORY RAUSCH MD Individual | Internal Medicine (Hematology & Oncology) | 501 W 7TH ST SUITE 1A FREDERICK, MD 21701 (301) 662-8477 |
| 1790756435 | MS. NANCY B HUGHES PT Individual | Physical Therapist | 501 W 7TH ST SUITE E FREDERICK, MD 21701 (301) 668-7818 |
| 1407817018 | DR. MARK STEVEN SOBERMAN M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 501 W 7TH ST FREDERICK, MD 21701 (301) 694-5861 |
| 1518014935 | LEE ONCOLOGY, PA Organization | Radiology (Radiation Oncology) | 501 W 7TH ST STE. 2 FREDERICK, MD 21701 (301) 694-5517 |
| 1740302686 | DR. MAURICE ANTONIO SMITH M.D Individual | Surgery | 501 W 7TH ST SUITE D FREDERICK, MD 21701 (301) 694-5861 |
| 1043701535 | DR. ANDREA BACKES PHARMD Individual | Pharmacist | 501 W 7TH ST FREDERICK, MD 21701 (240) 457-2695 |
| 1447731724 | BRIAN KRISTIAN STRAHL PA-C Individual | Physician Assistant | 501 W 7TH ST FREDERICK, MD 21701 (301) 698-8374 |
| 1619446622 | MR. LEMUEL CARLO LUCAS DE LEON CRNP Individual | Nurse Practitioner (Family) | 501 W 7TH ST FREDERICK, MD 21701 (301) 698-8374 |
| 1750810875 | ALLISON FREEMAN PHYSICIAN ASSISTANT Individual | Physician Assistant | 501 W 7TH ST FREDERICK, MD 21701 (301) 698-8374 |
| 1144213893 | SARAH L. HOOPER CRNP Individual | Nurse Practitioner (Adult Health) | 501 W 7TH ST FREDERICK, MD 21701 (301) 698-8374 |
| 1114974300 | DANIEL J LAMONT PA-C Individual | Physician Assistant (Medical) | 501 W 7TH ST FREDERICK, MD 21701 (301) 698-8374 |
| 1376570853 | MARIANNE RALLAS Individual | Physician Assistant (Medical) | 501 W 7TH ST FREDERICK, MD 21701 (301) 698-8374 |
| 1487768834 | MS. DAWN MARIE RIESETT PA-C Individual | Physician Assistant | 501 W 7TH ST FREDERICK, MD 21701 (301) 698-8374 |
| 1457496911 | MARLA J MULLEN CRNP Individual | Nurse Practitioner (Family) | 501 W 7TH ST FREDERICK, MD 21701 (301) 698-8374 |
| 1891086799 | DR. JARED JOSEPH TOMPKINS M.D. Individual | Otolaryngology | 501 W 7TH ST FREDERICK, MD 21701 (240) 575-2526 |
| 1437409489 | NICOLE B. F. MULLENDORE FNP-BC Individual | Nurse Practitioner (Family) | 501 W 7TH ST FREDERICK, MD 21701 (301) 698-8374 |
| 1548504749 | KRYSTAL RAFFERTY PA-C Individual | Physician Assistant | 501 W 7TH ST FREDERICK, MD 21701 (301) 698-8374 |
| 1992265656 | MRS. MELANIE FAITH ONDREJKO CRNP Individual | Nurse Practitioner (Acute Care) | 501 W 7TH ST FREDERICK, MD 21701 (240) 575-2526 |
| 1841707270 | REBECCA ELIZABETH SMITH FNP-C Individual | Nurse Practitioner | 501 W 7TH ST FREDERICK, MD 21701 (301) 698-8374 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447528013, enumerated in the NPI registry as an "organization" on December 09, 2011
The provider is located at 501 W 7th St Frederick, Md 21701 and the phone number is (240) 215-6310
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider's CLIA number is 21D2135521 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 09, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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