NPIMap

Organization Active NPI

Midwest Heart Rhythm Incorporated

  • Clinical Cardiac Electrophysiology Physician
  • Chesterfield, MO
National Provider Identifier
1548287527
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
R4D51 Issued in MO
Legal business name
MIDWEST HEART RHYTHM INCORPORATED
Practice address
222 S Woods Mill Rd
Suite 400N
Chesterfield, MO 63017-3625
Phone
(314) 317-9863
Fax
(314) 317-9806
NPI assigned
Jul 16, 2006
Last updated
Oct 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Authorized official

Name
Carey S Fredman, MDNPI 1205809175
Title
MD
Phone
(314) 317-9863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X R5G76 MO
Clinical Cardiac Electrophysiology Physician 207RC0001X R4D51 MO Primary

Addresses

Primary practice location

222 S Woods Mill Rd
Suite 400N
Chesterfield, MO 63017-3625

Mailing address

PO Box 952273
Saint Louis, MO 63195-2273
Phone (314) 432-2580

Other identifiers 2

IdentifierTypeStateIssuer
505207209MedicaidMO
CH4229OtherMORAILROAD MEDICARE

Other names 1

  • MIDWEST HEART RHTYHM, INC. Other name

National Provider Directory

National Provider Directory

Locations

777 S New Ballas Rd
Ste 300E
Saint Louis, MO 63141
Phone (314) 432-7839

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1548287527",
    "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",
            "address_2": "SUITE 400N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-317-9863",
            "fax_number": "314-317-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEART RHYTHM INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "FREDMAN",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "314-317-9863",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MO",
            "license": "R5G76",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MO",
            "license": "R4D51",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505207209",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH4229",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDWEST HEART RHTYHM, INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.