Healthcare Provider Details

I. General information

NPI: 1598357345
Provider Name (Legal Business Name): LINDSAY RENEE FEUCHT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W MAIN ST STE 100
SPRINGFIELD OH
45502-1369
US

IV. Provider business mailing address

2425 STARGRASS AVE
GROVE CITY OH
43123-9807
US

V. Phone/Fax

Practice location:
  • Phone: 937-398-1066
  • Fax: 937-521-1406
Mailing address:
  • Phone: 585-755-3787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.006894
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: