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OPAL MEDICAL GROUP, P.A.
NPI 1477639862
Internal Medicine in Hagerstown, MD

Active since October 27, 2006
1126 OPAL COURT, HAGERSTOWN, MD 21740(240) 420-2666(240) 420-0951 Get Directions Write a Review

NPPES record last updated: February 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Opal Medical Group, P.a. NPPES

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

OPAL MEDICAL GROUP, P.A. (NPI 1477639862) is a healthcare organization registered as an internal medicine in Hagerstown, Maryland and active in the NPI registry since October 2006. The organization lists Amy Renee Hose, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1477639862
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOPAL MEDICAL GROUP, P.A.
Location Address1126 OPAL COURTHagerstown, MD 21740
Mailing Address1126 Opal CourtHagerstown, MD 21740 · (240) 420-2666 · Fax (240) 420-0951
Phone(240) 420-2666
Fax(240) 420-0951
Organization SubpartNo
Authorized OfficialAmy Renee HoseOffice Manager · (240) 420-6909
Enumeration DateOctober 27, 2006
Last NPPES UpdateFebruary 24, 2010
✔ NPI 1477639862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D52323
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1126 OPAL COURT, Hagerstown, MD 21740
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Other Identifiers 3

Medicare ID-Type Unspecified742MMD
Medicaid404343000MD
Medicare UPING86887

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

JEMIMA BLACKMON
Nurse Practitioner (Family)
1126 OPAL COURT
HAGERSTOWN, MD 21740
Washington County (240) 420-2666
FARID MURSHED MD
Internal Medicine
1126 OPAL COURT
HAGERSTOWN, MD 21740
Washington County (240) 420-2666

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 Opal Medical Group, P.A.'s NPI number?

The NPI number for Opal Medical Group, P.A. is 1477639862. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Opal Medical Group, P.A. located?

Opal Medical Group, P.A. is located at 1126 Opal Court, Hagerstown, MD 21740. The listed phone number is (240) 420-2666.

What is Opal Medical Group, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Opal Medical Group, P.A. was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.