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1922095751

NPI Code Detail

MEDICARE: THEODORE A FEINTUCH MD

MEDICARE: THEODORE A FEINTUCH MD

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	207ZP0101X	Anatomic Pathology Physician	MD005138	TN
2	207ZP0101X	Anatomic Pathology Physician	029275	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	220020930	OTHER		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
2	TN0101	OTHER		JOHN DEERE HEALTH
3	3031326	OTHER		BC/BS OF TN
4	PAYSUB	OTHER		TRIGON
6	100011601	OTHER		PHP OF TN
7	1140003	OTHER		UNITED HEALTHCARE
8	264946	OTHER		BLACK LUNG
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922095751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THEODORE A FEINTUCH MD

Provider Business Mailing Address
First Line	:	PO BOX 51530
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37950-1530
Country	:	US
Telephone Number	:	865-588-2928
Fax Number	:	865-450-9374

Provider Business Practice Location Address
First Line	:	2333 MCCALLIE AVE
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37404-3258
Country	:	US
Telephone Number	:	423-493-1550
Fax Number	:	423-698-7858

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

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	10/22/2008

Similar Medicare Providers

1912902099 — DR. STEPHAN F ESELGROTH M.D.
Practice Location Address:

2333 MCCALLIE AVE
CHATTANOOGA, TN
37404-3258

Practice Phone: 423-698-6061
Practice Fax:

1245206978 — GARY R LANHAM MD
Practice Location Address:

2333 MCCALLIE AVE
CHATTANOOGA, TN
37404-3258

Practice Phone: 423-493-1550
Practice Fax:

1417923228 — SOUTHERN PATHOLOGY ASSOCIATES INC
Practice Location Address:

2333 MCCALLIE AVE
CHATTANOOGA, TN
37404-3258

Practice Phone: 423-493-1550
Practice Fax:

1710953229 — CHARLES A EVANS MD
Practice Location Address:

2333 MCCALLIE AVE
CHATTANOOGA, TN
37404-3258

Practice Phone: 423-493-1550
Practice Fax:

1306806690 — JENNIFER LEANN MOSER
Practice Location Address:

2333 MCCALLIE AVE
CHATTANOOGA, TN
37404-3258

Practice Phone: 423-698-6061
Practice Fax:

1437119328 — ASSOCIATES IN DIAGNOSTIC RADIOLOGY INC
Practice Location Address:

2333 MCCALLIE AVE
CHATTANOOGA, TN
37404-3258

Practice Phone: 423-493-1387
Practice Fax: 423-553-1224

Directions to “ THEODORE A FEINTUCH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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