1. Home
  2. Directory
  3. Ohio
  4. Fredericktown
  5. Family Medicine
  6. NPI Profile

FREDERICKTOWN FAMILY PRACTICE
NPI 1114060472
Family Medicine in Fredericktown, OH

Active since February 15, 2007
16361 VILLAGE PKWY, FREDERICKTOWN, OH 43019(740) 694-2110(740) 694-2127 Get Directions Write a Review

NPPES record last updated: July 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fredericktown Family Practice NPPES

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

FREDERICKTOWN FAMILY PRACTICE (NPI 1114060472) is a healthcare organization registered as a family medicine in Fredericktown, Ohio and active in the NPI registry since February 2007. The organization lists Amanda Bowers, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114060472
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFREDERICKTOWN FAMILY PRACTICE
Location Address16361 VILLAGE PKWYFredericktown, OH 43019-9585
Mailing Address16361 Village PkwyFredericktown, OH 43019-9585 · (740) 694-2110 · Fax (740) 694-2127
Phone(740) 694-2110
Fax(740) 694-2127
Organization SubpartNo
Authorized OfficialAmanda BowersOffice Manager · (740) 694-2110
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 20, 2010
✔ NPI 1114060472 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.
16361 VILLAGE PKWY, Fredericktown, OH 43019
Open in Google Maps ↗

Other Identifiers 2

Medicaid2161191OH
Medicare ID-Type UnspecifiedFR9307321OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Fredericktown Family Practice's NPI number?

The NPI number for Fredericktown Family Practice is 1114060472. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Fredericktown Family Practice located?

Fredericktown Family Practice is located at 16361 Village Pkwy, Fredericktown, OH 43019. The listed phone number is (740) 694-2110.

What is Fredericktown Family Practice's specialty?

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

When was this NPI record last updated?

The NPPES record for Fredericktown Family Practice was last updated on July 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.