Rafi Fredman, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

2019032397 Issued in MO

Practice address

1551 Wall St Ste 420
Saint Charles, MO 63303-3541

Phone

(636) 329-4036

Fax

(636) 206-2898

NPI assigned

Apr 25, 2014

Last updated

Dec 17, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Rafi Fredman MD LLC

  dba Amelia Aesthetics

  • Clinic/Center
  • Saint Charles, MO
  • NPI 1215563374
  Authorized official Same address or phone

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1972923126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 WALL ST STE 420",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033541",
            "telephone_number": "636-329-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 WALL ST STE 420",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033541",
            "telephone_number": "636-329-4036",
            "fax_number": "636-206-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDMAN",
        "first_name": "RAFI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "2019032397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Franklin, PA
• Karen Joyce Franklin, COTA
• Marsh'a Trenesha Franklin, LCSW
• Patricia Franscavitch
• Michael Frederick, PHARMD
• Leslie Dawn Free, LCSW
• Sara Freedman
• Lori A. Freeman, ANP
• William M French
• Frenchtown Chiropractic LLC

• Plastic and Reconstructive Surgery Physician in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Plastic and Reconstructive Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.