FREDERICKTOWN FAMILY PRACTICE – Family Medicine Physician, NPI 1114060472

FREDERICKTOWN FAMILY PRACTICE is a healthcare provider. based in Fredericktown, Ohio. specializing in Family Medicine Physician. The NPI Number for FREDERICKTOWN FAMILY PRACTICE is 1114060472

Main info

Organization
Name
FREDERICKTOWN FAMILY PRACTICE
NPI
1114060472
Phone
(740) 694-2110
Address
16361 VILLAGE PKWY
Authorized Official
MS. AMANDA BOWERS OFFICE MANAGER
Enumeration Date
15 February 2007
Last Update Date
20 July 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for FREDERICKTOWN FAMILY PRACTICE

  • 16361 VILLAGE PKWY

    FREDERICKTOWN, OH 430199585

    Phone: (740) 694-2110

    Fax: (740) 694-2127

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43019)

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Reviews

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Frequently asked questions

Where can patients find FREDERICKTOWN FAMILY PRACTICE's NPI?
You can confirm FREDERICKTOWN FAMILY PRACTICE with NPI 1114060472; it appears in the national provider directory.
Is FREDERICKTOWN FAMILY PRACTICE's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize FREDERICKTOWN FAMILY PRACTICE's specialty in plain language?
Clinically, the directory lists FREDERICKTOWN FAMILY PRACTICE with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for FREDERICKTOWN FAMILY PRACTICE?
We surface Fredericktown, Ohio for FREDERICKTOWN FAMILY PRACTICE based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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