OLD FASHION MEDICINE, INC – NPI #1649775933
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

OLD FASHION MEDICINE, INC is a provider located in FREDERICK, MD. NPPES has assigned the NPI number 1649775933 to OLD FASHION MEDICINE, INC on March 28, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 8 years ago on Jun 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OLD FASHION MEDICINE, INC below.

NPI Profile for
OLD FASHION MEDICINE, INC

NPI Number
1649775933
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OLD FASHION MEDICINE, INC
Primary location
95 GATEPOST LANE
APARTMENT 1B
FREDERICK, MD 21701
Phone: (240) 409-3348 Fax:
1 Other location(s):
95 Gatepost Lane
Apartment 1B
Frederick, MD 21701-9239
Phone: (240) 409-3348
Mailing address
16722 ANNANDALE RD
EMMITSBURG, MD 21727-8908
Phone: (240) 888-5023 Fax:
Organization Subpart
No
Authorized Official
JOHN REILLY
OWNER/PHYSICIAN
Phone: (240) 409-3348
Updated
Identifiers

Identifiers for OLD FASHION MEDICINE, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD2853027000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
MD D0054749

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.