Lee Austin Fredrickson Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-130790 Issued in OH

Practice address

2094 E State St Ste D
Salem, OH 44460-4409

Phone

(330) 332-7220

Fax

(234) 542-6148

NPI assigned

Apr 3, 2014

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

SCH Professional CorporationGroup PAC ID 0941291868, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Expand Health Skilled at Home LLC Home health agency, Youngstown, OH, CCN 369312
• Salem Regional Medical Center Hospital, Salem, OH, CCN 360185

Merit-based Incentive Payment System (MIPS)

Final score

84.84 of 100Reported as apm

Quality

69.69

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• SCH Professional Corporation

  • Family Medicine Physician
  • Salem, OH
  • NPI 1619959822

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Community Action Agency of Columbiana County Inc

  dba United Local School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Hanoverton, OH
  • NPI 1225914112
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Expand Health Skilled at Home LLC

  dba Expand Health at Home

  • Home Health Agency
  • Youngstown, OH
  • NPI 1548936156
  Care Compare affiliation
• Salem Community Hospital

  dba Salem Regional Medical Center

  • General Acute Care Hospital
  • Salem, OH
  • NPI 1639131535
  Care Compare affiliation
• Salem Community Hospital

  dba SRMC Ancillary Services

  • Radiology Clinic/Center
  • Calcutta, OH
  • NPI 1750227377

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1427476753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 E STATE ST STE D",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444604409",
            "telephone_number": "330-332-7220",
            "fax_number": "234-542-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 E STATE ST STE D",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444604409",
            "telephone_number": "330-332-7220",
            "fax_number": "234-542-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICKSON",
        "first_name": "LEE",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-130790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lee.Austin.Fredrickson@salemregional.medicity.net",
            "affiliation": "N",
            "address_1": "2094 E State St Ste D",
            "city": "Salem",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444604409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany M Foerster
• Frank R Bailey DDD Inc
• Latash Franklin, QMHS
• Nicole Fraschieri, COTA
• Lauren Fredrickson, MD
• Frencor Inc (Visiting Angesl)
• James Ervin Friedl III, DO
• Erin Fuschetto
• Theodore Marino Ezekiel Gagianas, PA-C
• Gail C Herron Jr

• Internal Medicine Physician in Salem, OH
• Providers in Salem, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.