OrganizationActive
Fredericktown Family Practice
NPI 1114060472 · Family Medicine Physician · Fredericktown, OH
Provider details
- NPI number
- 1114060472
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amanda Bowers, Office Manager(740) 694-2110
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16361 Village Pkwy
Fredericktown, OH 43019-9585
Phone: (740) 694-2110
Fax: (740) 694-2127
Street-level locationGet directions
Mailing address
16361 Village Pkwy
Fredericktown, OH 43019-9585
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2010-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.