RAFI FREDMAN MD LLC (NPI# 1215563374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215563374 |
| Entity Type | Organization |
| Organization Name | RAFI FREDMAN MD LLC |
| Other Organization Name | AMELIA AESTHETICS |
| Practice Address |
1551 Wall St Ste 420 Saint Charles MO 63303-3541 |
| Practice Telephone | 6363294036 |
| Mailing Telephone | 6363294036 |
| Mailing Fax Number | 6362062898 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-06-14 |
| Authorized Official Name | RAFI SHMUEL FREDMAN (OWNER) |
| Authorized Official Telephone | 3142773715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Amelia Aesthetics | Doing Business As Name - Organization |
| Street Address |
1551 WALL ST STE 420 |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63303-3541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972923126 | Rafi Fredman | Surgery | 1551 Wall St Ste 420, Saint Charles, MO 63303-3541 | 2014-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
| 1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
| Find all providers in zip 63303 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982035440 | Ezell Chiropractic LLC | Clinic/Center | 1817 Zumbehl Rd, Saint Charles, MO 63303-2728 | 2013-12-10 |
| 1417418583 | Healing Hand Health, Lc | Clinic/Center | 2061 Collier Corporate Pkwy, Saint Charles, MO 63303-6701 | 2019-03-29 |
| 1811244387 | Eye Shoppe, Inc. | Clinic/Center | 115 N Main St, Saint Charles, MO 63301-2826 | 2012-08-14 |
| 1528327921 | Lance Hatch | Clinic/Center | 1575 Kisker Rd, Saint Charles, MO 63304-0608 | 2012-05-07 |
| 1477826030 | Complete Wellness Chiropractic Center LLC | Clinic/Center | 2241 Bluestone Dr, Saint Charles, MO 63303-6705 | 2012-02-13 |
| 1790001139 | Amaranth Counseling, LLC | Clinic/Center | 2230 Bluestone Dr, Saint Charles, MO 63303-5978 | 2010-04-09 |
| 1346494226 | Wilks Chiropractic | Clinic/Center | 2241 Bluestone Dr, Saint Charles, MO 63303-6705 | 2008-11-05 |
| 1104091958 | Lauer Chiropractic PC | Clinic/Center | 2241 Bluestone Dr, Saint Charles, MO 63303-6705 | 2008-04-23 |
| 1265556369 | Fox Valley Wellness Center, Ltd | Clinic/Center | 2325 Dean St, Suite 400, Saint Charles, IL 60175-4810 | 2007-03-16 |
| 1982646980 | Ssm St. Joseph Health Center | Clinic/Center | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2006-06-12 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63303 |
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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.