Healthcare Provider Details

I. General information

NPI: 1073542684
Provider Name (Legal Business Name): JAMES E. MCFEELY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 30TH ST. SUITE 314
OAKLAND CA
94609-3312
US

IV. Provider business mailing address

411 30TH ST. SUITE 314
OAKLAND CA
94609-3312
US

V. Phone/Fax

Practice location:
  • Phone: 510-465-6800
  • Fax: 510-268-0634
Mailing address:
  • Phone: 510-841-0689
  • Fax: 510-841-8119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberG62497
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberG62497
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: