Healthcare Provider Details

I. General information

NPI: 1801534144
Provider Name (Legal Business Name): DAVID CHARLES IRWIN FESER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7450 HOSPITAL DR STE 370
DUBLIN OH
43016-9629
US

IV. Provider business mailing address

3500 W PURDUE AVE
MUNCIE IN
47304-6357
US

V. Phone/Fax

Practice location:
  • Phone: 614-760-1401
  • Fax:
Mailing address:
  • Phone: 765-747-6090
  • Fax: 765-747-5069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71015172A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0040998
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number31235
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number31235
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: