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NPI Code Detail

MEDICARE: DOUGLAS JOHN FEDERLE MD

MEDICARE: DOUGLAS JOHN FEDERLE 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
1207X00000XOrthopaedic Surgery Physician01057258IN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00035877OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000279343OTHERINANTHEM
2022011OTHERINSIHO
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942236849
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS JOHN FEDERLE MD
Provider Business Mailing Address
First Line : 4665 N US HIGHWAY 31
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-8558
Country : US
Telephone Number : 812-376-9353
Fax Number : 812-376-3757
Provider Business Practice Location Address
First Line : 4665 N US HIGHWAY 31
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-8558
Country : US
Telephone Number : 812-376-9353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 12/05/2025

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