Frederick Health Medical Group LLC
Family Medicine in Myersville, MD. Organization (NPI-2).
NPI number1679397103
StatusActive
Last updated in NPPESMar 11, 2026
Details
- NPI
- 1679397103
- Entity type
- Organization (NPI-2)
- Legal business name
- Frederick Health Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2024
- Certification date
- Mar 11, 2026
- Last updated
- Mar 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Frederick Health Medical Group (Doing Business As)
Practice location
3000d Ventrie CtMyersville, MD 21773-7817
Phone 240-215-6310
Mailing address
400 W 7th StFrederick, MD 21701-4506
Authorized official
Jenny Fitzpatrick
Director, Professional Fees Revenue
2404398774
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