Provider Demographics
NPI:1417134693
Name:MICHAEL Z FEIN DPM PC
Entity Type:Organization
Organization Name:MICHAEL Z FEIN DPM PC
Other - Org Name:ARCH FOOT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:Z
Authorized Official - Last Name:FEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-743-7083
Mailing Address - Street 1:488 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-1008
Mailing Address - Country:US
Mailing Address - Phone:203-838-0442
Mailing Address - Fax:203-838-9431
Practice Address - Street 1:488 MAIN AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-1008
Practice Address - Country:US
Practice Address - Phone:203-721-7861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0000654213E00000X, 213ES0103X
213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4161387Medicaid
CTU59103Medicare UPIN
CT4161387Medicaid