Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fredericktown Family Practice

Organization Family Medicine Physician · NPI 1114060472

Fredericktown Family Practice is a Family Medicine Physician in Fredericktown, Ohio. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

16361 Village Pkwy
Fredericktown, OH 43019-9585
Phone: (740) 694-2110
Fax: (740) 694-2127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1114060472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Bowers — Office Manager · (740) 694-2110
NPI enumeratedFebruary 15, 2007
Last updated in NPPESJuly 20, 2010
Mailing address16361 Village Pkwy, Fredericktown, OH 43019-9585

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