MEDICARE: DAVID A FELDER JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	0101035655	VA
2	207X00000X	Orthopaedic Surgery Physician	22661	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376541615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A FELDER JR. M.D.

Provider Business Mailing Address
First Line	:	3703 TEAYS VALLEY RD
Second Line	:	TEAYS VALLEY ORTHOPEDICS
City	:	HURRICANE
State	:	WV
Zip	:	25526
Country	:	US
Telephone Number	:	304-757-2273
Fax Number	:	304-760-9290

Provider Business Practice Location Address
First Line	:	3703 TEAYS VALLEY RD
Second Line	:
City	:	HURRICANE
State	:	WV
Zip	:	25526-9645
Country	:	US
Telephone Number	:	304-757-2273
Fax Number	:	304-760-9290

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	12/14/2015

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Directions to “ DAVID A FELDER JR. M.D.” Practice Location

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