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FREDERICK PRIMARY CARE ASSOCIATES P.A. NPI 1689658890


NPI Information

NPI: 1689658890
Provider Name: FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 21D0933177

Address:
610 SOLAREX CT
FREDERICK, MD
ZIP 21703
Phone: (301) 682-5500
Get Directions

FREDERICK PRIMARY CARE ASSOCIATES, P.A. is a family medicine in Frederick, MD. The provider is 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. FREDERICK PRIMARY CARE ASSOCIATES, P.A. NPI is 1689658890. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

610 SOLAREX CT
FREDERICK, MD
ZIP 21703-624
Phone: (301) 682-5500

The provider's authorized official is James Baker .
The authorized official title is Director Of Operations and has the following contact phone number (301) 663-6162.

The CLIA number assigned to this NPI record is 21D0933177 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/1/2005 and was last updated on 8/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1926580505MEDICAIDMARYLAND
2926580508MEDICAIDMARYLAND
3926580507MEDICAIDMARYLAND
4926580506MEDICAIDMARYLAND
5926580504MEDICAIDMARYLAND
6926580502MEDICAIDMARYLAND
7926580503MEDICAIDMARYLAND
8CD8143MEDICARE PINMARYLAND
9451LMEDICARE PINMARYLAND
10926580509MEDICAIDMARYLAND
11926580501MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.