Healthcare Provider Details

I. General information

NPI: 1386688711
Provider Name (Legal Business Name): DAVID S FELDMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E MAXWELL ST
LEXINGTON KY
40508-2678
US

IV. Provider business mailing address

PO BOX 636256 CENTRAL CREDENTIALING ML0806
CINCINNATI OH
45263-6256
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-3231
  • Fax:
Mailing address:
  • Phone: 513-245-3104
  • Fax: 513-585-5511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number52212
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number35083110
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA11262500
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberTP296
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA11262500
License Number StateNJ
# 6
Primary TaxonomyN
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number25MA11262500
License Number StateNJ
# 7
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35083110
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: