Healthcare Provider Details

I. General information

NPI: 1083743512
Provider Name (Legal Business Name): NAOMI Y FEIMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 05/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4745 ARAPAHOE AVE STE 310
BOULDER CO
80303-1082
US

IV. Provider business mailing address

4185 COOPER CT
BOULDER CO
80303-2513
US

V. Phone/Fax

Practice location:
  • Phone: 303-442-2913
  • Fax:
Mailing address:
  • Phone: 410-598-3136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number50025
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number50025
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: