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NPI Code Detail

MEDICARE: FREDERICK HEALTH MEDICAL GROUP LLC

MEDICARE: FREDERICK HEALTH MEDICAL GROUP LLC
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician
2207RH0003XHematology & Oncology Physician
3207X00000XOrthopaedic Surgery Physician
4207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1114771862
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREDERICK HEALTH MEDICAL GROUP LLC
Provider Business Mailing Address
First Line : 400 W 7TH ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-4506
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 504 E RIDGEVILLE BLVD
Second Line :
City : MOUNT AIRY
State : MD
Zip : 21771-5942
Country : US
Telephone Number : 240-215-6310
Fax Number :
Authorized Official
Title or Position : DIRECTOR, PROFESSIONAL FEES REVENUE
Name : JENNY FITZPATRICK
Credential :
Telephone Number : 240-439-8774
Provider Enumeration Date : 04/17/2024
Last Update Date : 03/11/2026

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Directions to “FREDERICK HEALTH MEDICAL GROUP LLC ” Practice Location

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