# FREDERICK HEALTH MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487518783
- **Authorized official:** SHELBY BOGGS (AVP)
- **Authorized official phone:** (240) 315-3423

## Contact information

- **Practice address:** 501 W 7TH ST, FREDERICK, MD 21701-4586
- **Practice address phone:** (240) 215-6310
- **Mailing address:** 1 FREDERICK HEALTH WAY, FREDERICK, MD 21701-9435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175M00000X | Lay Midwife | — | NULL | — |
| 175M00000X | Lay Midwife | — | — | — |
| 176B00000X | Midwife | — | NULL | — |
| 176B00000X | Midwife | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 12/11/2025
- **Last updated:** 12/11/2025