Provider Demographics
NPI:1083682637
Name:FELDER, LOUIS S (MD)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:S
Last Name:FELDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5140 LIBERTY AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2215
Mailing Address - Country:US
Mailing Address - Phone:412-681-2300
Mailing Address - Fax:412-681-6959
Practice Address - Street 1:5140 LIBERTY AVE STE 102
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2215
Practice Address - Country:US
Practice Address - Phone:412-681-2300
Practice Address - Fax:412-681-6959
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV30156207Y00000X
PAMD050918L207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001463132Medicaid
761956Medicare PIN
PA001463132Medicaid