1. Home
  2. Directory
  3. Maryland
  4. Walkersville
  5. Family Medicine
  6. NPI Profile

FREDERICK HEALTH MEDICAL GROUP LLC
NPI 1104640671
Family Medicine in Walkersville, MD

Active since November 12, 2024CLIA 21D2182600 · Waiver
15 E FREDERICK ST, WALKERSVILLE, MD 21793(240) 215-6310 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2026, Nov 12, 2024 (2 updates tracked since 2024).

About Frederick Health Medical Group Llc NPPES

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

FREDERICK HEALTH MEDICAL GROUP LLC (NPI 1104640671), doing business as Frederick Health Medical Group, is a healthcare organization registered as a family medicine in Walkersville, Maryland and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through December 18, 2026 and lists Jenny Fitzpatrick, Director, Professional Fees Revenue, as its authorized official.

NPPES Registry Identity

NPI1104640671
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFREDERICK HEALTH MEDICAL GROUP LLC
Location Address15 E FREDERICK STWalkersville, MD 21793-8234
Mailing Address400 W 7th StFrederick, MD 21701-4506
Phone(240) 215-6310
Organization SubpartNo
Authorized OfficialJenny FitzpatrickDirector, Professional Fees Revenue · (240) 439-8774
Enumeration DateNovember 12, 2024
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1104640671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
15 E FREDERICK ST, Walkersville, MD 21793
Open in Google Maps ↗

Other Names 1

Doing Business AsFrederick Health Medical Group

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

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 Waiver 21D2182600

Frederick Health Medical Group- Walkersville · Walkersville, MD
Active · expires Dec 18, 2026
CLIA Number21D2182600
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorAlice Esame
Laboratory Phone(240) 566-7301
Laboratory LocationFrederick Health Medical Group- Walkersville15 E Frederick St, Walkersville, MD 21793
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

JOHN A SHUTTA, MD, PA
Family Medicine
15 E FREDERICK ST
WALKERSVILLE, MD 21793
Frederick County (301) 898-5200
JESSICA COLE FNP-C
Nurse Practitioner (Family)
15 E FREDERICK ST
WALKERSVILLE, MD 21793
Frederick County (240) 215-6310
SAMANTHA ROSE CHIORAZZO PA-C
Physician Assistant
15 E FREDERICK ST
WALKERSVILLE, MD 21793
Frederick County (240) 215-6310
JOHN A SHUTTA MD
Family Medicine
15 E FREDERICK ST
WALKERSVILLE, MD 21793
Frederick County (301) 898-5200
BENJAMIN B LORETO
Physician Assistant
15 E FREDERICK ST
WALKERSVILLE, MD 21793
Frederick County (240) 215-6310
CRAIG STACHEWICZ P.A.
Physician Assistant
15 E FREDERICK ST
WALKERSVILLE, MD 21793
Frederick County (240) 215-6310

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 Frederick Health Medical Group LLC's NPI number?

The NPI number for Frederick Health Medical Group LLC is 1104640671. It was assigned to this organization in the NPPES registry on November 12, 2024. The provider is doing business as Frederick Health Medical Group.

Where is Frederick Health Medical Group LLC located?

Frederick Health Medical Group LLC is located at 15 E Frederick St, Walkersville, MD 21793. The listed phone number is (240) 215-6310.

What is Frederick Health Medical Group LLC's specialty?

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

Does Frederick Health Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2182600) is associated with this NPI, valid through December 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Frederick Health Medical Group LLC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.