Healthcare Provider Details
I. General information
NPI: 1992945471
Provider Name (Legal Business Name): HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/24/2009
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 W SEVENTH ST
FREDERICK MD
21701-4506
US
IV. Provider business mailing address
1222 DEMONBREUN ST STE 1601
NASHVILLE TN
37203-7092
US
V. Phone/Fax
- Phone: 615-377-5658
- Fax:
- Phone: 253-682-6040
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAURA
FALL
Title or Position: MANAGER
Credential:
Phone: 253-682-6040