Carey S Fredman, M.D.

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

R4D51 Issued in MO

Practice address

222 S Woods Mill Rd Ste 400N
Chesterfield, MO 63017-3610

Phone

(314) 317-9863

Fax

(314) 317-9806

NPI assigned

Feb 9, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Heart Rhythm Incorporated

  • Clinical Cardiac Electrophysiology Physician
  • Chesterfield, MO
  • NPI 1548287527
  Authorized official Same address or phone
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205809175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952273",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631952273",
            "telephone_number": "314-432-2580",
            "fax_number": "314-432-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD STE 400N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173610",
            "telephone_number": "314-317-9863",
            "fax_number": "314-317-9806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 S New Ballas Rd",
            "address_2": "SUITE 300E",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418705",
            "country_code": "US",
            "telephone_number": "314-432-7839",
            "fax_number": "314-432-4839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDMAN",
        "first_name": "CAREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MO",
            "license": "R4D51",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE IND #",
            "identifier": "060061518",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP#",
            "identifier": "CH4229",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Frantz, CRNA
• John E Frattini, MD
• Fred W. Gaskin, MDPC
• Ashley Frederick, DPT
• Brody Michael Frederick, PHARM.D., RPH
• Lindsey A Freeman, CRNA
• Anthony P. Friedrich Jr., MD
• Friendship Village of West County (Friendship Village Chesterfield)
• Todd T Frisch, D.C.
• Racquel Frisella, AGPCNP-BC

• Clinical Cardiac Electrophysiology Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Clinical Cardiac Electrophysiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.