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

Dr. Terry Lee Frederick, MD

Individual provider Family Medicine Physician · NPI 1508997248

Dr. Terry Lee Frederick, MD is a Family Medicine Physician in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2505 W Hamilton Rd S
Fort Wayne, IN 46814-9136
Phone: (260) 625-6200
Fax: (260) 625-6213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01024046A (IN)

Record details

NPI number1508997248
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 7, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2505 W Hamilton Rd S, Fort Wayne, IN 46814-9136

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