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NPI Code Detail

MEDICARE: DR. JOHN EMERSON FELDMANN M.D.

MEDICARE: DR. JOHN EMERSON FELDMANN 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
1207R00000XInternal Medicine Physician200300596NC
2207RH0003XHematology & Oncology Physician200300596NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2803438OTHERNCPARTNERS MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C7125OTHERNCMEDCOST
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
44006538OTHERNCAETNA
5134NHOTHERNCBCBS NC

General Provider Information

NPI Number : 1639122070
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN EMERSON FELDMANN M.D.
Provider Business Mailing Address
First Line : 2500 SUMMIT AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4522
Country : US
Telephone Number : 336-621-2500
Fax Number : 336-478-2541
Provider Business Practice Location Address
First Line : 2500 SUMMIT AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4522
Country : US
Telephone Number : 336-621-2500
Fax Number : 336-478-2541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 12/19/2012

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