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keep our neighbors 

heart healthy


Proudly serving patients in the Farmington and Fredericktown area.

If you would like to see us for any reason, please call 573-756-1813 or click here to complete an online request and we will call you back promptly.

So that we may serve you quicker, please complete as much of the New Patient Forms as possible. We'll also need your insurance card and identification.

New Patients

Dr. Bryan Piotrowski

Dr. Piotrowski is board certified in Cardiovascular Disease, Nuclear Cardiology and is a Registered Physician in Vascular interpretation.  He is board certified in Vascular and Endovascular medicine, including treatment of peripheral arterial and venous diseases.  He received his medical degree from St. Louis University with cum laude honors.  His cardiology training includes three years of fellowship in cardiovascular diseases and another year in interventional cardiology at St. Louis University.  Click here to learn more.

We are pleased

to announce our

newest provider,

Mark Chin M.D.


Dr. Mark Chin

Dr. Mark Chin is a cardiologist with over 40 years of experience and a history of serving the community of Farmington, Missouri. Dr. Chin attended Taipei Medical University, where he received his medical degree, and completed his internship, residency, and fellowship at St. Luke's Hospital in Chesterfield. Dr. Chin is certified in cardiology by the American Board of Internal Medicine.  Dr. Chin formally retired from working as a full time provider in the spring of 2021.  Dr. Chin is eager to return to the practice of cardiology providing the highest quality care to our patients.  His expertise and experiences are an asset to his patients and to the community. 

Click here to learn more.

We now seeing patients

in Fredericktown.


Our providers will have clinic hours at Madison Medical twice a month on Thursday mornings. 

The address of the clinic is 611 W. Main Street, Fredericktown, MO 63645. Our office will be set up in the Outpatient Clinic Department of the hospital.

Brittany Nicole Rogers, DMS, PA-C

"Niki" is a board certified PHYSICIAN assistant with experience in both the inpatient and outpatient settings.  Niki completed her graduate degree from University of Missouri Columbia and completed her Physician assistant program with Missouri State University.  Niki has experience and research knowledge specifically focused in areas of neuroscience including Stokes, TIA, and neuropathy.  As a member of the community, Niki has developed relationships with many of the area providers. In May of 2022, Niki received her Doctor of Medical Science degree from Butler University.
Click here to learn more.

If you would like to have your future scheduled appointment moved to the Fredericktown location, please contact our office.

All appointments and phone calls will continue to be coordinated through our main office at 573-756-1813

as we will not keep a permanent staff at the Madison location.

Conditions we treat:
  • Aneurysm

  • Angina and Acute Coronary Syndrome

  • Aortic Valve Disease

  • Aortic Valve Regurgitation

  • Congenital Heart Defects

  • Congenital Heart Disease

  • Coronary Artery Disease (CAD)

  • Coronary Artery Dissection

  • Heart Attack (Acute Myocardial Infarction)

  • Heart Disease

  • Mitral Valve Disease

  • Mitral Valve Regurgitation

  • Mitral Valve Stenosis

  • Septal Defect

  • Tricuspid Valve Disease

  • Vascular Disease

  • And more

Testing we perform in the office:
  • Echocardiogram

  • Carotid Ultrasound

  • Stress Testing

  • Nuclear Stress testing

  • Peripheral Vascular Studies

  • Holter Monitors/Event (MCOT) Monitors

  • Implantable Device Clinic including interpretation and follow up of pacemaker, defibrillator, and implantable loop recorders


Masks are optional unless a patient is symptomatic or has been exposed to COVID in the past ten days. ​ While we encourage our patients to obtain COVID vaccinations, we acknowledge there are patients who have chosen to not receive the vaccination at this time.  As a result, we are asking our patients to help us in these unprecedented times.  If you have tested positive for COVID or been in direct contact with anyone who has tested positive for COVID within the past 10 days, please inform our office staff prior to coming into the office for your appointment.  If you have been experiencing fatigue, a cough or fever of any kind, please inform us prior to coming into the office.  We will do our best to evaluate you over the phone to determine if it is appropriate to postpone your appointment for a few weeks. Your cardiac care is paramount and we will be available to you by phone or in the office.  If you have any questions, please contact the office at (573) 756-1813.

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