MEDICARE: MID-MARYLAND EAR NOSE & THROAT SPECIALISTS, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	KH16MI	OTHER	MD	CAREFIRST BLUE CROSS BLUE SHIELD MARYLAND
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	B583	OTHER	DC	CAREFIRST BLUE CROSS BLUE SHIELD NATIONAL CAPITAL AREA

General Provider Information

NPI Number	:	1215993977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MID-MARYLAND EAR NOSE & THROAT SPECIALISTS, P.A.

Provider Business Mailing Address
First Line	:	75 THOMAS JOHNSON DR
Second Line	:	SUITE B
City	:	FREDERICK
State	:	MD
Zip	:	21702-4895
Country	:	US
Telephone Number	:	301-695-3100
Fax Number	:	301-695-3100

Provider Business Practice Location Address
First Line	:	75 THOMAS JOHNSON DR
Second Line	:	SUITE B
City	:	FREDERICK
State	:	MD
Zip	:	21702-4895
Country	:	US
Telephone Number	:	301-695-3100
Fax Number	:	301-695-3100

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EVERETT TALMADGE HART
Credential	:	M.D.
Telephone Number	:	301-695-3100

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	11/13/2013

Similar Medicare Providers

1598768764 — EVERETT T. HART M.D.
Practice Location Address:

75 THOMAS JOHNSON DR , STE B
FREDERICK, MD
21702-4895

Practice Phone: 301-695-3100
Practice Fax:

1669479382 — MR. CHRISTOPHER PETER BUTLER MPT
Practice Location Address:

75 THOMAS JOHNSON DRIVE , SUITE L
FREDERICK, MD
21702-4895

Practice Phone: 301-698-9956
Practice Fax: 301-698-9957

1073514675 — MICHAEL R MORRIS M.D.
Practice Location Address:

75 THOMAS JOHNSON DR , SUITE B
FREDERICK, MD
21702-4895

Practice Phone: 301-695-3100
Practice Fax: 301-695-7403

1427030170 — RACHEL I MANDEL MD
Practice Location Address:

75 THOMAS JOHNSON DRIVE , SUITE J
FREDERICK, MD
21702-4895

Practice Phone: 301-620-0010
Practice Fax: 301-682-3977

1720059736 — DR. DAVID S MEZEBISH M.D.
Practice Location Address:

75 THOMAS JOHNSON DR STE H
FREDERICK, MD
21702-4895

Practice Phone: 301-668-9850
Practice Fax: 301-668-9853

1508814849 — DR. ANISH SHARAD PATEL MD, MBA
Practice Location Address:

75 THOMAS JOHNSON DR , SUITE C
FREDERICK, MD
21702-4895

Practice Phone: 301-620-0012
Practice Fax: 301-620-9687

Directions to “MID-MARYLAND EAR NOSE & THROAT SPECIALISTS, P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.