Michael E Frey, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME89291 Issued in FL

Practice address

8255 College Pkwy
Ste 100
Fort Myers, FL 33919-5119

Phone

(239) 437-8000

Fax

(239) 437-9991

NPI assigned

Oct 6, 2005

Last updated

Jan 14, 2015By 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 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Advanced Labs of SW Florida, LLC

  • Clinical Medical Laboratory
  • Fort Myers, FL
  • NPI 1972989424
  NPD (past) Authorized official
• Park Center for Procedures LLC

  • Ambulatory Surgical Clinic/Center
  • Fort Myers, FL
  • NPI 1992970230
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1780672543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 07400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339190391",
            "telephone_number": "239-437-8000",
            "fax_number": "239-437-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8255 COLLEGE PKWY",
            "address_2": "STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195119",
            "telephone_number": "239-437-8000",
            "fax_number": "239-437-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME89291",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME89291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "37503",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4457197",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056302100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanley Howard Freeman, M.S., PHARM.D.
• Rebecca Anne Freese, PHARMD
• Jaeden French, RBT
• Stephanie Ann Fretwell, LMHC
• Andrew Frey, DDS
• Steven M Frey, D.D.S.
• Leslie Frias
• Patricia Frias
• Lauren Michelle Friedman, M.S.
• Tina Friedman, LMHC

• Interventional Pain Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.