SCOTT M FREDE (NPI# 1760411227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760411227 |
| Entity Type | Individual |
| Full Name | SCOTT M FREDE |
| Credential | M.D. |
| Practice Address |
1190 W Main St Vevay IN 47043 |
| Mailing Address |
Po Box 3395 Evansville IN 47732-3395 |
| Practice Telephone | 8124279564 |
| Practice Fax Number | 8124279621 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01052679 | IN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 01052679 | IN | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 01052679 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | 080157891 | 01 | |
| IN | 200257500A | 05 | |
| AETNA | 7475123 | 01 | |
| KY | 64018054 | 05 | |
| IN | SIHO | 792121P | 01 |
| IN | ANTHEM BCBS | 000000186610 | 01 |
| Street Address |
1190 W MAIN ST |
| City | VEVAY |
| State | IN |
| Zip Code | 47043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556108 | Greg Andrew Fillenwarth | Nurse Practitioner | 1190 W Main St, Suite 300, Vevay, IN 47043-3639 | 2005-05-27 |
| 1104211242 | Robert D. Findley, D. D. S. | Dentist | 1190 W Main St, Suite 100, Vevay, IN 47043-3639 | 2015-04-06 |
| 1164813762 | Keri A Kuppler | Physical Therapist | 1190 W Main St, Vevay, IN 47043-3639 | 2015-02-18 |
| 1104214535 | Steven E Konkle | Physical Therapist | 1190 W Main St, Vevay, IN 47043-3639 | 2015-01-08 |
| 1659621258 | Katia Stefanova | Nurse Practitioner | 1190 W Main St, Vevay, IN 47043-3639 | 2012-09-12 |
| 1699778902 | Switzerland County Auditor's Office | Clinic/Center | 1190 W Main St, Ste 300, Vevay, IN 47043-3639 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366871261 | David Munson | Physical Therapy Assistant | 135 West State Route 56, Swiss Villa Nursing and Rehabilitation, Vevay, IN 47043 | 2013-11-01 |
| 1396744686 | Switzerland County Emergency Unit Inc | Ambulance | 610 Ferry St, Vevay, IN 47043 | 2005-07-19 |
| 1548506363 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1023 W Main St, Vevay, IN 47043 | 2012-12-26 |
| 1245320142 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 727 Hwy 56, Vevay, IN 47043 | 2006-10-13 |
| 1417348525 | Lisle Family Eye Care Inc | Optometrist | 405 Ferry St, Vevay, IN 47043-1105 | 2015-02-11 |
| 1972961506 | Jefferson & Craig Township Volunteer Fire Department, Incorporated | Ambulance | 610 Ferry St, Vevay, IN 47043-1110 | 2016-02-10 |
| 1780910497 | John C Siegltiz | Optometrist | 121 W Main St, Vevay, IN 47043-1125 | 2009-10-30 |
| 1629028683 | John Chris Sieglitz | Optometrist | 121 W Main St, Vevay, IN 47043-1125 | 2006-05-11 |
| 1689689408 | Kings Daughters Hospital | Durable Medical Equipment & Medical Supplies | 213 W Main St, Vevay, IN 47043-1127 | 2006-07-30 |
| 1972534261 | Marc B Willage | Family Medicine | 213 W Main St, Vevay, IN 47043-1127 | 2006-07-05 |
| Find all providers in zip 47043 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
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| 1508493669 | Md Healthcare Direct | Internal Medicine | 5330 Harrison Street, Merrillville, IN 46410-1465 | 2020-03-26 |
| 1386280923 | Spencer Wellness Centre LLC | Internal Medicine | 7202 E 71st St, Indianapolis, IN 46256-1904 | 2019-11-19 |
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1699321307 | Medical Consultants of Central Indiana LLC | Internal Medicine | 5252 E 82nd St Ste 300, Indianapolis, IN 46250-5704 | 2019-08-18 |
| 1235799909 | Emd Healthcare, LLC | Internal Medicine | 6582 W Deerfield Dr, Zionsville, IN 46077-7500 | 2019-06-16 |
| 1487217121 | Perry County Memorial Hospital | Internal Medicine | 559 Main St Ste 1, Rockport, IN 47635-1451 | 2019-04-18 |
| 1245797208 | Shaze Medical Group LLC | Internal Medicine | 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130-3602 | 2019-02-26 |
| 1881167997 | Jara Lynn Southerland | Internal Medicine | 10122 E 10th St Ste 220, Indianapolis, IN 46229-2664 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
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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.