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FREDERICKSBURG CLINIC, PLLC
NPI 1033145545
Family Medicine in Fredericksburg, TX

Active since June 25, 2006CLIA 45D0504078 · Accreditation
1308 SOUTH HIGHWAY 16, FREDERICKSBURG, TX 78624(830) 997-2181(830) 997-9598 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2017, Aug 28, 2017 (2 updates tracked since 2017).

About Fredericksburg Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICKSBURG CLINIC, PLLC (NPI 1033145545) is a healthcare organization registered as a family medicine in Fredericksburg, Texas and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through August 22, 2026 and lists John Radcliffe Kothmann, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1033145545
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFREDERICKSBURG CLINIC, PLLC
Location Address1308 SOUTH HIGHWAY 16Fredericksburg, TX 78624-5058
Mailing Address1308 South Highway 16Fredericksburg, TX 78624-5058 · (830) 997-2181 · Fax (830) 997-9598
Phone(830) 997-2181
Fax(830) 997-9598
Organization SubpartNo
Authorized OfficialJohn Radcliffe KothmannAuthorized Official · (830) 997-2181
Enumeration DateJune 25, 2006
Last NPPES UpdateNovember 20, 20172 updates tracked since enumeration
✔ NPI 1033145545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
1308 SOUTH HIGHWAY 16, Fredericksburg, TX 78624
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Other Identifiers 4

Medicaid082891502TX
Medicare PIN00NB71TX
Medicaid084372401TX
Medicare PIN00H232TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D0504078

Fredericksburg Clinic · Fredericksburg, TX
Active · expires Aug 22, 2026
CLIA Number45D0504078
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorDr. Maggie Gainer
Laboratory Phone(830) 997-2181
Laboratory LocationFredericksburg Clinic1308 S State Highway 16, Fredericksburg, TX 78624
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY J EVANS MS, RN, FNP-BC
Nurse Practitioner (Family)
1308 SOUTH HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 997-2181
MRS. KATHLEEN M FRYBURGER P.A.
Physician Assistant
1308 SOUTH HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 997-2181
JENNIFER KATE MAYBEN M.D.
Internal Medicine
1308 SOUTH HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 997-2181
REBECCA WENDALL DALEY D.O.
Family Medicine
1308 SOUTH HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 997-2181
PHILIP J MAPLE M.D.
Internal Medicine
1308 SOUTH HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 997-2181
JEFFREY RANDALL HOLT MD
Family Medicine
1308 SOUTH HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 997-2181
JOHN RADCLIFFE KOTHMANN M.D.
Family Medicine
1308 SOUTH HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 997-2181
LORETTA KEESE PA
Physician Assistant
1308 SOUTH HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 997-2181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fredericksburg Clinic, PLLC's NPI number?

The NPI number for Fredericksburg Clinic, PLLC is 1033145545. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is Fredericksburg Clinic, PLLC located?

Fredericksburg Clinic, PLLC is located at 1308 South Highway 16, Fredericksburg, TX 78624. The listed phone number is (830) 997-2181.

What is Fredericksburg Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Fredericksburg Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D0504078) is associated with this NPI, valid through August 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fredericksburg Clinic, PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Fredericksburg Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fredericksburg Clinic, PLLC was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.