# FREDERICK HEALTH MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREDERICK HEALTH MEDICAL GROUP LLC
- **Other names:** Frederick Health Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619258225
- **Legal business name:** FREDERICK HEALTH MEDICAL GROUP LLC
- **Authorized official:** JENNY FITZPATRICK (DIRECTOR, PROFESSIONAL FEES REVENUE)
- **Authorized official phone:** (240) 439-8774

## Contact information

- **Practice address:** 1562 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4337
- **Practice address phone:** (240) 215-6310
- **Mailing address:** 400 W 7TH ST, FREDERICK, MD 21701-4506
- **Mailing address phone:** (240) 566-3337
- **Mailing address fax:** (240) 566-4872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | — | NULL | — |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 09/09/2011
- **Last updated:** 06/02/2026