Frederick Health Medical Group LLC
Organization Active NPI Family Medicine Physician · Walkersville, MD
NPI 1104640671 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1104640671
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FREDERICK HEALTH MEDICAL GROUP LLC
- Practice address
- 15 E Frederick St
Walkersville, MD 21793-8234 - Phone
- (240) 215-6310
- NPI assigned
- Nov 12, 2024
- Organization subpart
- No
Authorized official
- Name
- Jenny Fitzpatrick
- Title
- Director, Professional Fees Revenue
- Phone
- (240) 439-8774
Other NPIs on the same Medicare enrollment 40
Corporate family (same tax ID) 32
Practitioners 5
-
Emily Bozzell, RD
-
Todd Doran, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130820000555 | MD | Part B Supplier - Clinic/Group Practice | 9931341096 |
Receives reassigned benefits from 296 practitioners 41 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Frederick, MD; Ijamsville, MD; Mount Airy, MD; Myersville, MD; Walkersville, MD; Adamstown, MD; Brunswick, MD; Emmitsburg, MD |
National Provider Directory
- Tax ID family
- Monocacy Health Partners LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
15 E Frederick St
Walkersville, MD 21793-8234
Mailing address
400 W 7TH St
Frederick, MD 21701-4506
Other names
- Frederick Health Medical Group
Other providers in Walkersville, MD
- Claire Drake
- Noah Paxton Eckel
- Catherine Eckert
- Silvina Etchegoyen
- First Docs PC
- Frederick Primary Care Associates, P.a.
- Frederick Sport & Spine Clinic
- Paula Gene French
- Mary M Galanis
- Jodi Nicole Geczi
All providers in Walkersville, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.