Frederick Primary Care Associates, P.A. · Family Medicine Physician

45 Thomas Johnson Dr Ste 212, Frederick, MD 21702-4490

Overview

Frederick Primary Care Associates, P.A. is a Family Medicine Physician (organization) practicing in Frederick, Maryland. The National Provider Identifier (NPI) is #1144027046, which was assigned on February 27, 2025, and the registration record was last updated on February 27, 2025. The practitioner's main practice location is at 45 Thomas Johnson Dr Ste 212, Frederick, MD 21702-4490; the contact telephone number is 3016947600. The primary taxonomy of Frederick Primary Care Associates, P.A. is Family Medicine Physician (207Q00000X). The authorized official for Frederick Primary Care Associates, P.A. is Scott R Lilly (Ceo).

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.

Provider Information

NPI 1144027046
Entity Type Organization
Organization Name FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Provider Name FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Practice Address 45 Thomas Johnson Dr Ste 212
Frederick
MD 21702-4490
Practice Telephone 3016947600
Mailing Address 610 Solarex Ct
Frederick
MD 21703-8624
Certification Date 2025-02-27
Enumeration Date 2025-02-27
Last Update Date 2025-02-27
Is Organization Subpart Y
Parent Organization Legal Business Name FREDERICK PRIMARY CARE ASSOCIATES, P.A.

Authorized Official Information

Official Name SCOTT R LILLY
Official Title CEO
Telephone 3016636162

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism193200000X MULTI-SPECIALTY GROUP
N363LP0200XNurse PractitionerPediatrics193200000X MULTI-SPECIALTY GROUP
N133V00000XDietitian, Registered193200000X MULTI-SPECIALTY GROUP
Y207Q00000XFamily Medicine193200000X MULTI-SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 207Q00000X
Taxonomy Family Medicine Physician
Classification Family Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: 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.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Other Taxonomy

Code 207RE0101X
Taxonomy Endocrinology, Diabetes & Metabolism Physician
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism
Grouping Allopathic & Osteopathic Physicians
Definition: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Other Taxonomy

Code 363LP0200X
Taxonomy Pediatric Nurse Practitioner
Classification Nurse Practitioner
Specialization Pediatrics
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 133V00000X
Taxonomy Registered Dietitian
Classification Dietitian, Registered
Grouping Dietary & Nutritional Service Providers
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Notes: Source: Academy of Nutrition and Dietetics Definition of Terms List , Current Version, https://www.eatrightpro.org/practice/quality-management/scope-of-practice [7/1/2019:modified definition]

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Provider NameAddressTaxonomyEnumeration Date
Lindsey Jackson 9800 Broadway Ext, Oklahoma City, OK 73114-6303Family Medicine Physician2026-04-11
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Sarajean E Sponaugle 777 N Raymond St, Boise, ID 83704-9251Family Medicine Physician2026-04-09
Huntington Faculty Medical Affiliates, University Faculty Practice Cor 533 Route 111, Hauppauge, NY 11788-4350Family Medicine Physician2026-04-09
Clarke Middle Health Center 1235 Baxter St, Athens, GA 30606-3711Family Medicine Physician2026-04-09
Qcare Family Medicine LLC 1405 Chews Landing Rd Ste 21, Laurel Springs, NJ 08021-2769Family Medicine Physician2026-04-10
Max Zhong 4461 State Route 159 Ste A, Chillicothe, OH 45601-6000Family Medicine Physician2026-04-09
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Location Information

Street Address 45 THOMAS JOHNSON DR STE 212
City FREDERICK
State MD
Zip Code 21702-4490
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Privia Medical Group, LLC 45 Thomas Johnson Dr Ste 212, Frederick, MD 21702-4490Family Nurse Practitioner2025-04-09

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Laura Beatriz De Lima Souza Bonasera 1966 Fauna Dr, Frederick, MD 21702-1252Behavioral Analyst2023-04-25
Bridginglife, Inc. 7407 Willow Rd, Frederick, MD 21702-2500Hospice and Palliative Medicine (Family Medicine) Physician2025-03-27
Alyssia Turner 2706 Moon Shot Ln, Frederick, MD 21702-1716Mental Health Counselor2025-08-06
Julius Afanwi Shuneh 1341 Hampshire Dr, Frederick, MD 21702-1185Case Manager/Care Coordinator2024-07-31
Lakeiya Dulcio 1627 Blacksmith Way Unit B, Frederick, MD 21702-1761Counseling Psychologist2025-07-16
Olivia Rose Reyes 7420 Hayward Rd Ste 104, Frederick, MD 21702-2510Mental Health Counselor2025-07-16
Jada Denise Sewell 2084 Pomona Way, Frederick, MD 21702-1255Family Nurse Practitioner2025-08-29
Nikkia D Rogers 7407 Willow Rd, Frederick, MD 21702-2595Physical Therapy Assistant2026-04-10
Joyce Obeng Boateng 8530 Rocky Springs Rd, Frederick, MD 21702-2302Psychiatric/Mental Health Nurse Practitioner2025-12-23
Daniel Okine 409 Harlan Way Apt 104, Frederick, MD 21702-2480Behavior Technician2020-11-17
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.