MEDICARE: JAY T FEIST DPM

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	213E00000X	Podiatrist	36002650	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CD5236	OTHER	OH	RAILROAD MEDICARE GROUP
3	480023545	OTHER	OH	RAILROAD MEDICARE

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
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740374172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY T FEIST DPM

Provider Business Mailing Address
First Line	:	PO BOX 933400
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44193-0038
Country	:	US
Telephone Number	:	513-574-2424
Fax Number	:	513-574-2479

Provider Business Practice Location Address
First Line	:	4455 BRIDGETOWN ROAD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211
Country	:	US
Telephone Number	:	513-574-2424
Fax Number	:	513-574-2479

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	07/29/2020

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Directions to “ JAY T FEIST DPM” Practice Location

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