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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: August 16, 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 1205650777), doing business as Frederick Health Medical Group, is a healthcare organization registered as a family medicine in Frederick, Maryland and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Jenny Fitzpatrick, Director, Professional Fees Revenue, as its authorized official.

NPPES Registry Identity

NPI1205650777
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFREDERICK HEALTH MEDICAL GROUP LLC
Location Address3430 WORTHINGTON BLVDFrederick, MD 21704-7017
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 1205650777 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.
3430 WORTHINGTON BLVD, Frederick, MD 21704
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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 21D1099887

Frederick Health Medical Group · Frederick, MD
Active · expires May 25, 2027
CLIA Number21D1099887
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorDr. Alice Esame
Laboratory Phone(240) 566-5400
Laboratory LocationFrederick Health Medical Group3430 Worthington Blvd, Frederick, MD 21704
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 15

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

DR. HANNA SIWIEC M.D.
Family Medicine
3430 WORTHINGTON BLVD, SUITE 103
FREDERICK, MD 21704
Frederick County (240) 215-6900
YVONNE TOWNSLEY MPT
Physical Therapist
3430 WORTHINGTON BLVD, SUITE 102
FREDERICK, MD 21704
Frederick County (301) 874-4343
FREDERICK HEALTH HOSPITAL INC
Clinical Medical Laboratory
3430 WORTHINGTON BLVD, FREDERICK
FREDERICK, MD 21704
Frederick County (240) 566-3400
FREDERICK HEALTH HOSPITAL INC
Clinic/Center (Radiology)
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Frederick County (301) 874-2163
REST ASSURED SLEEP CENTERS, LLC
Clinic/Center (Sleep Disorder Diagnostic)
3430 WORTHINGTON BLVD, SUITE 205
FREDERICK, MD 21704
Frederick County (410) 897-8445
DR. ZOE L AJEBON D.O.
Family Medicine
3430 WORTHINGTON BLVD, SUITE 103
FREDERICK, MD 21704
Frederick County (240) 215-6900
MR. MICHAEL XIAOBO TANG PA-C
Physician Assistant
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Frederick County (240) 215-6310
UNIVERSITY OF PITTSBURGH PHYSICIANS
Internal Medicine (Gastroenterology)
3430 WORTHINGTON BLVD, SUITE 206
URBANA, MD 21704
Frederick County (301) 695-6800

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 1205650777. 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 3430 Worthington Blvd, Frederick, MD 21704. 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 21D1099887) is associated with this NPI, valid through May 25, 2027. 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 5 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.