Provider Demographics
NPI:1376580456
Name:FELINS, RAYMOND J (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:J
Last Name:FELINS
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 1:260 DALEVILLE HWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:COVINGTON TWP
Mailing Address - State:PA
Mailing Address - Zip Code:18444-7951
Mailing Address - Country:US
Mailing Address - Phone:570-842-7746
Mailing Address - Fax:570-842-7189
Practice Address - Street 1:260 DALEVILLE HWY
Practice Address - Street 2:STE 103
Practice Address - City:COVINGTON TWP
Practice Address - State:PA
Practice Address - Zip Code:18444-7951
Practice Address - Country:US
Practice Address - Phone:570-842-7746
Practice Address - Fax:570-842-7189
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034316E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016390490001Medicaid
PA159743Medicare PIN
PA0016390490001Medicaid