DR. TERRY LEE FREDERICK M.D.
NPI 1508997248
Family Medicine in Fort Wayne, IN

Q: What is Terry Frederick's NPI number?

The NPI number for Terry Frederick is 1508997248. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Q: What is Terry Frederick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Terry Frederick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 07, 2007

2505 W HAMILTON RD S, FORT WAYNE, IN 46814(260) 625-6200(260) 625-6213 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Terry Lee Frederick M.d. NPPES

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

DR. TERRY LEE FREDERICK M.D. (NPI 1508997248) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01024046A) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1508997248

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TERRY LEE FREDERICKCredential: M.D.

Location Address2505 W HAMILTON RD SFort Wayne, IN 46814-9136

Mailing Address2505 W Hamilton Rd SFort Wayne, IN 46814-9136 · (260) 625-6200 · Fax (260) 625-6213

Phone(260) 625-6200

Fax(260) 625-6213

Sole ProprietorYes

Enumeration DateMarch 7, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1508997248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01024046A

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.

2505 W HAMILTON RD S, Fort Wayne, IN 46814

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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 Terry Frederick's NPI number?

The NPI number for Terry Frederick is 1508997248. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Terry Frederick located?

Terry Frederick practices at 2505 W Hamilton Rd S, Fort Wayne, IN 46814. The listed phone number is (260) 625-6200.

What is Terry Frederick'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 Terry Frederick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.