David Fredericka, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35040244 Issued in OH

Practice address

1753 E Market St
Suite 1
Warren, OH 44483-6672

Phone

(330) 373-6903

Fax

(330) 399-1055

NPI assigned

Feb 15, 2007

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 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

Cardiovascular Disease (Cardiology)

Education

Loyola University of Chicago, Stritch School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
• MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
• Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352

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.

• Cardiac Management Inc

  • Cardiovascular Disease Physician
  • Warren, OH
  • NPI 1326032590
  Medicare reassignment NPD Authorized official

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

• Mercy Health Youngstown LLC

  • Clinical Medical Laboratory
  • Warren, OH
  • NPI 1538233309

  Hospital

  Care Compare affiliation
• Mercy Health Youngstown LLC

  • General Acute Care Hospital
  • Youngstown, OH
  • NPI 1548296106
  Care Compare affiliation
• Mercy Health Youngstown LLC

  • General Acute Care Hospital
  • Warren, OH
  • NPI 1629009964
  Care Compare affiliation
• Mercy Health Youngstown LLC

  • Clinical Medical Laboratory
  • Youngstown, OH
  • NPI 1831600295

  Hospital

  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation
• The Surgery Center at Southwoods, LLC

  • Special Hospital
  • Youngstown, OH
  • NPI 1740398890
  Care Compare affiliation

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1578606893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 E MARKET ST",
            "address_2": "SUITE 1",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836672",
            "telephone_number": "330-373-6903",
            "fax_number": "330-399-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 E MARKET ST",
            "address_2": "SUITE 1",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836672",
            "telephone_number": "330-373-6903",
            "fax_number": "330-399-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKA",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35040244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0411987",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Frasca, D.C.
• Cassandra Jo Frawley
• Garendia Frazier
• Ashley Frazzini
• Erica Fredenburg, LPC
• Shelby Free
• Caryn Dawn Freeborn, MSW, LSW
• Annette Freeman
• Monica Tennelle Freeman
• Nathalie Freites Gonzalez, MD

• Cardiovascular Disease Physician in Warren, OH
• Providers in Warren, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.