FREDERICK HEALTH MEDICAL GROUP LLC
NPI 1205590155
Internal Medicine - Hematology in Frederick, MD

Active since October 27, 2021
194 THOMAS JOHNSON DR, FREDERICK, MD 21702(301) 662-8477 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frederick Health Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK HEALTH MEDICAL GROUP LLC (NPI 1205590155) is a healthcare organization registered as a hematology in Frederick, Maryland and active in the NPI registry since October 2021. The organization lists Shelby Boggs, Vice President, as its authorized official.

NPPES Registry Identity

NPI1205590155
Entity TypeOrganization
Primary Taxonomy207RH0000X
Legal Business NameFREDERICK HEALTH MEDICAL GROUP LLC
Location Address194 THOMAS JOHNSON DRFrederick, MD 21702-4679
Mailing Address194 Thomas Johnson DrFrederick, MD 21702-4679 · (301) 662-8477
Organization SubpartNo
Authorized OfficialShelby BoggsVice President · (443) 721-4452
Enumeration DateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
NPI 1205590155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
194 THOMAS JOHNSON DR, Frederick, MD 21702

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rehabilitation)
194 THOMAS JOHNSON DR, SUITE B
FREDERICK, MD 21702
Family Medicine
194 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702
Nurse Practitioner (Family)
194 THOMAS JOHNSON DR
FREDERICK, MD 21702
Internal Medicine (Gastroenterology)
194 THOMAS JOHNSON DR
FREDERICK, MD 21702
Physician Assistant
194 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702
Physician Assistant
194 THOMAS JOHNSON DR
FREDERICK, MD 21702
Family Medicine
194 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702
Family Medicine
194 THOMAS JOHNSON DR
FREDERICK, MD 21702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Health Medical Group LLC's NPI number?

The NPI number for Frederick Health Medical Group LLC is 1205590155. It was assigned to this organization in the NPPES registry on October 27, 2021.

Where is Frederick Health Medical Group LLC located?

Frederick Health Medical Group LLC is located at 194 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (301) 662-8477.

What is Frederick Health Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

When was this NPI record last updated?

The NPPES record for Frederick Health Medical Group LLC was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.