DR. CAREY S FREDMAN (NPI# 1205809175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205809175 |
Entity Type | Individual |
Full Name | DR. CAREY S FREDMAN |
Credential | M.D. |
Practice Address |
222 S Woods Mill Rd Ste 400n Chesterfield MO 63017-3610 |
Mailing Address |
Po Box 952273 Saint Louis MO 63195-2273 |
Practice Telephone | 3143179863 |
Practice Fax Number | 3143179806 |
Mailing Telephone | (314) 432-2580 |
Mailing Fax Number | 3144320223 |
Enumeration Date | 2006-02-09 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
R4D51 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | RR MEDICARE GROUP# | CH4229 | 01 |
MO | RAILROAD MEDICARE IND # | 060061518 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
777 S New Ballas Rd, Suite 300e, Saint Louis, MO 631418705 | 3144327839 | 3144324839 |
Street Address |
222 S WOODS MILL RD STE 400N |
City | CHESTERFIELD |
State | MO |
Zip Code | 63017-3610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
Find all providers in zip 63017 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629439187 | St. Louis Electrophysiology Specialists, LLC | Internal Medicine | 121 Saint Lukes Center Dr Ste 404, Chesterfield, MO 63017-3519 | 2016-03-11 |
1548287527 | Midwest Heart Rhythm Incorporated | Internal Medicine | 222 S Woods Mill Rd, Suite 400n, Chesterfield, MO 63017-3625 | 2006-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366451635 | Eric S Williams | Internal Medicine | 625 S New Ballas Rd Ste 2030, Saint Louis, MO 63141-8253 | 2006-08-05 |
1548214158 | John K Lee | Internal Medicine | 20 Ne Saint Luke's Blvd, Suite 240, Kansas City, MO 64086 | 2006-05-19 |
1427449487 | Prime Healthcare Kansas City - Physician Services LLC | Internal Medicine | 930 Carondelet Dr Ste 201, Kansas City, MO 64114-4698 | 2015-02-12 |
1679836381 | Jefferson Cardiovascular and Thoracic Services | Internal Medicine | 1390 Us Highway 61, Suite 3301, Festus, MO 63028-4137 | 2012-06-18 |
1164726758 | The Heart Specialty Associates, LLC | Internal Medicine | 10012 Kennerly Rd Ste 403, Saint Louis, MO 63128-2197 | 2010-12-22 |
1518280395 | Saint Luke's Physician Group I, LLC | Internal Medicine | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 | 2010-03-08 |
1356544993 | Aparna Cherla | Internal Medicine | 3800 S National Ave, Springfield, MO 65807-5209 | 2007-06-11 |
1104036029 | Jason Alan Rytlewski | Internal Medicine | 1605 East Broadway, #300, Columbia, MO 65201 | 2007-05-22 |
1093861601 | John Brian Garner | Internal Medicine | 3800 S National Ave, Suite 400, Springfield, MO 65807-5209 | 2007-01-26 |
1891866018 | Alan P Wimmer | Internal Medicine | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 | 2006-11-10 |
Find all providers with the same taxonomy |
City | CHESTERFIELD |
Zip Code | 63017 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.