Provider Demographics
NPI:1164793774
Name:FEIT, RICHARD A (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:FEIT
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:BOX 70571
Mailing Address - Street 2:QCOM ACADEMIC AFFAIRS EAST TENNESSEE STATE UNIVERSITY
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37614-1708
Mailing Address - Country:US
Mailing Address - Phone:423-439-2423
Mailing Address - Fax:
Practice Address - Street 1:EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE
Practice Address - Street 2:OF MEDICINE DEPARTMENT OF ACADEMIC AFFAIRS
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37614-1708
Practice Address - Country:US
Practice Address - Phone:423-439-2423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000014153208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)