MEDICARE: MATTHEW E. FEIL DO

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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	5858730-1204	UT
2	207PE0005X	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	5858730-1204	UT
3	207P00000X	Emergency Medicine Physician	5858730-1204	UT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00252694	OTHER	UT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B002	OTHER	UT	TRICARE
2	100638	OTHER	UT	PEHP
3	58587031200001	OTHER	UT	BC/BS
4	58587301204001	OTHER	UT	BC/BS
5	58587301202001	OTHER	UT	BC/BS
7	58587301205001	OTHER	UT	BC/BS
8	58587301206001	OTHER	UT	BC/BS
9	58587301201001	OTHER	UT	BC/BS
10	58587301203001	OTHER	UT	BC/BS
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790745271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW E. FEIL DO

Provider Business Mailing Address
First Line	:	144 S 500 E
Second Line	:	2ND FLOOR
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1907
Country	:	US
Telephone Number	:	801-463-7415
Fax Number	:

Provider Business Practice Location Address
First Line	:	3460 PIONEER PKWY
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120-2049
Country	:	US
Telephone Number	:	801-964-3100
Fax Number	:

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

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	04/15/2010

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