Provider Demographics
NPI:1225146681
Name:FELDMAN PODIATRY, P.C.
Entity Type:Organization
Organization Name:FELDMAN PODIATRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JANNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-522-9749
Mailing Address - Street 1:12230 ROCKVILLE PIKE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1672
Mailing Address - Country:US
Mailing Address - Phone:301-468-6515
Mailing Address - Fax:301-468-6524
Practice Address - Street 1:12230 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 250
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1672
Practice Address - Country:US
Practice Address - Phone:301-468-6515
Practice Address - Fax:301-468-6524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKJ61FEOtherBLUESHIELD
DC8346OtherBS (FEDERAL/NATL CAP)
DC8346OtherBS (FEDERAL/NATL CAP)
VAC08856Medicare ID - Type Unspecified
CH4826Medicare ID - Type UnspecifiedRAILROAD MEDICARE
DCG00147Medicare ID - Type Unspecified