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1114003332

NPI Code Detail

MEDICARE: JENNIFER MICHELE FELDMAN MD

MEDICARE: JENNIFER MICHELE FELDMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080A0000X	Pediatric Adolescent Medicine Physician	35086042	OH
2	208000000X	Pediatrics Physician	35.086042	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000370260	OTHER		BLUE CROSS BLUE SHIELD
3	7314721	OTHER		AETNA
4	1205522	OTHER		UNITED HEALTHCARE

General Provider Information

NPI Number	:	1114003332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MICHELE FELDMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 933432
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44193-0039
Country	:	US
Telephone Number	:	937-641-5072
Fax Number	:

Provider Business Practice Location Address
First Line	:	5501 FAR HILLS AVE STE 200
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2203
Country	:	US
Telephone Number	:	937-436-2866
Fax Number	:	937-439-1468

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	02/04/2026

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Directions to “ JENNIFER MICHELE FELDMAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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