Active NPI
Fredric V. Christian, M.D.
- Cardiovascular Disease Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD04658
- Practice address
- 2 Dudley St
Suite 360
Providence, RI 02905-3236 - Phone
- (401) 453-6752
- Fax
- (401) 444-3327
- NPI assigned
- Jul 27, 2006
- Last updated
- Mar 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD04658 | RI | Primary |
Addresses
Primary practice location
2 Dudley St
Suite 360
Providence, RI 02905-3236
Mailing address
2 Dudley St
Suite 360
Providence, RI 02905-3236
Phone (401) 453-6752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700316 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Georgetown University School of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
185 A High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050
185 High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050
208 Collyer St
Suite 301a
Providence, RI 02904-1560
Phone (401) 725-4888
900 Warren Ave
East Providence, RI 02914-1430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| The Miriam Hospital | Cardiovascular Disease | Current | Accepting new patients |
Locations
1377 S County Trl
East Greenwich, RI 02818
Phone (401) 886-7590
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
2 Dudley St
Ste 360
Providence, RI 02905
Phone (401) 274-7546
208 Collyer St
Ste 100
Providence, RI 02904
Phone (401) 793-7191
593 Eddy St
Providence, RI 02903
Interoperability endpoints
- fchristian10519@brownhealth.medalliesdirect.net
Organizations & group practices 7
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.
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Cardiovascular Disease Physician
- Providence, RI
- NPI 1851677470
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Cardiac Rehabilitation Clinic/Center
- East Greenwich, RI
- NPI 1518482389
-
- General Acute Care Hospital
- Providence, RI
- NPI 1770520462
-
dba The Men's Health Center
- Adult Medicine Physician
- Providence, RI
- NPI 1831362813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1528082922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 DUDLEY ST",
"address_2": "SUITE 360",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029053236",
"telephone_number": "401-453-6752",
"fax_number": "401-444-3327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 DUDLEY ST",
"address_2": "SUITE 360",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029053236",
"telephone_number": "401-453-6752",
"fax_number": "401-444-3327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "FREDRIC",
"middle_name": "V.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "RI",
"license": "MD04658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "700316",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.