# FREDERICK HEALTH MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREDERICK HEALTH MEDICAL GROUP LLC
- **Other names:** Frederick Health Medical Group, Orthopaedic Specialists of Frederick, Monocacy Health Partners LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790053361
- **Legal business name:** FREDERICK HEALTH MEDICAL GROUP LLC
- **Authorized official:** MICHELLE K MAHAN (SR VP AND CFO)
- **Authorized official phone:** (240) 566-3355

## Contact information

- **Practice address:** 501 W 7TH ST, FREDERICK, MD 21701-4586
- **Practice address phone:** (301) 663-9573
- **Practice address fax:** (301) 662-2182
- **Mailing address:** 52 THOMAS JOHNSON DR, FREDERICK, MD 21702-4501
- **Mailing address phone:** (301) 663-9573
- **Mailing address fax:** (301) 662-2182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2011
- **Last updated:** 01/24/2020