Organization
FREDERICK HEALTH MEDICAL GROUP LLC
Active
Parent organization
FREDERICK HEALTH MEDICAL GROUP LLC
Other names
Surgical Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDERICK HEALTH MEDICAL GROUP LLC
Authorized official
JENNY FITZPATRICK (DIRECTOR, PROFESSIONAL FEES REVENUE)
(240) 439-8774
Entity
Organization
Contact information
Practice address
75 THOMAS JOHNSON DR, FREDERICK, MD 21702-4895
(301) 695-3100
(240) 575-2527
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 215-6310
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2355A2700X
Audiology Assistant
—
—
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336554900
—
MD
Enumeration date
06/20/2013
Last updated
03/11/2026
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