Frederick Primary Care Associates, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FREDERICK PRIMARY CARE ASSOCIATES, P.A.

Practice address

3430 Worthington Blvd Ste 103
Frederick, MD 21704-7018

Phone

(240) 215-6900

NPI assigned

Sep 6, 2024

Last updated

Jun 23, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

FREDERICK PRIMARY CARE ASSOCIATES, P.A.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Scott R Lilly

Title

Ceo

Phone

(301) 663-6162

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Amy Jones MD11 organizations share this tax ID, including this one

Part of

Amy Jones MD

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

• Frederick Primary Care Associates, P.a.

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• Frederick Primary Care Associates, P.a.

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  • NPI 1811724099
  NPD tax ID
• Frederick Primary Care Associates, P.a.

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  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Frederick Primary Care Associates, P.a.

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1689658890
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1346075546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SOLAREX CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 WORTHINGTON BLVD STE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047018",
            "telephone_number": "240-215-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK PRIMARY CARE ASSOCIATES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERICK PRIMARY CARE ASSOCIATES, P.A.",
        "enumeration_date": "2024-09-06",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-663-6162",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.