FREDERICK HEALTH MEDICAL GROUP LLC
NPI 1205650777
Family Medicine in Frederick, MD

Active since November 12, 2024CLIA 21D1099887 · Waiver
3430 WORTHINGTON BLVD, FREDERICK, MD 21704(240) 215-6310 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

  • Organization
  • Family Medicine
  • CLIA Number: 21D1099887
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 05-25-2027

About FREDERICK HEALTH MEDICAL GROUP LLC

This page provides the complete NPI Profile along with additional information for Frederick Health Medical Group Llc, a primary care provider established in Frederick, Maryland operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1205650777 assigned on November 2024. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated March 2026. Frederick Health Medical Group Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jenny Fitzpatrick (Director, Professional Fees Revenue)

NPI
1205650777 Verify this NPI
Provider Name
FREDERICK HEALTH MEDICAL GROUP LLC
Entity Type
Organization
Location Address
3430 WORTHINGTON BLVD FREDERICK, MD 21704
Location Phone
(240) 215-6310
Mailing Address
400 W 7TH ST FREDERICK, MD 21701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-12-2024
Last Update Date
03-11-2026
Code Navigator

A primary care provider (PCP) like Frederick Health Medical Group Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNY FITZPATRICK

Authorized Official Title
DIRECTOR, PROFESSIONAL FEES REVENUE
Authorized Official Phone
(240) 439-8774

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D1099887
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
May 26, 2025
Certificate Expiration Date
May 25, 2027
Laboratory Director
DR. ALICE ESAME
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Frederick Health Medical Group Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Family Medicine
3430 WORTHINGTON BLVD, SUITE 103
FREDERICK, MD 21704
Clinic/Center (Sleep Disorder Diagnostic)
3430 WORTHINGTON BLVD, SUITE 205
FREDERICK, MD 21704
Internal Medicine (Gastroenterology)
3430 WORTHINGTON BLVD, SUITE 206
URBANA, MD 21704
Family Medicine
3430 WORTHINGTON BLVD, SUITE 103
FREDERICK, MD 21704
Family Medicine
3430 WORTHINGTON BLVD, SUITE 103
FREDERICK, MD 21704
Family Medicine
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Family Medicine
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Physician Assistant
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Physical Therapist
3430 WORTHINGTON BLVD, SUITE 102
FREDERICK, MD 21704
Physician Assistant
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Clinic/Center (Urgent Care)
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Clinical Medical Laboratory
3430 WORTHINGTON BLVD, FREDERICK
FREDERICK, MD 21704
Clinic/Center (Radiology)
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Clinic/Center (Rehabilitation)
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Family Medicine
3430 WORTHINGTON BLVD, SUITE 103
FREDERICK, MD 21704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205650777, enumerated as an "organization" on November 12, 2024.

The provider is located at 3430 WORTHINGTON BLVD FREDERICK, MD 21704 and the phone number is (240) 215-6310.

Family Medicine with taxonomy code 207Q00000X.