Provider Demographics
NPI:1518910777
Name:FEUER, MICHAEL W (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:W
Last Name:FEUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:25 COMMUNICATIONS WAY
Mailing Address - Street 2:MACC-REVENUE CYCLE
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-1866
Mailing Address - Country:US
Mailing Address - Phone:508-957-8664
Mailing Address - Fax:508-957-8677
Practice Address - Street 1:40 QUINLAN WAY
Practice Address - Street 2:SUITE 206
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-778-8835
Practice Address - Fax:508-790-8989
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA230109207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA26687-MD022810EOtherHEALTH PARTNERS
PA0316813OtherCIGNA HMO/PPO
PA4208105OtherAETNA PPO
PA10447250OtherCAQH ID#
PA0566518OtherAETNA HMO
PA1011765300001Medicaid
PA732729OtherHIGHMARK BLUE SHIELD
PA30027049OtherKEYSTONE MERCY
PA0622328000OtherIBC - PC/KHPE
PA0622328000OtherAMERIHEALTH/INTERCOUNTY
PA4208105OtherAETNA PPO
PA1011765300001Medicaid