Provider Demographics
NPI:1558528174
Name:FELTMAN, JOSEPH R (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:R
Last Name:FELTMAN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:RYAN
Other - Last Name:FELTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 405827
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-5800
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:80 HUMPHREYS CENTER
Practice Address - Street 2:SUITE 200
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120
Practice Address - Country:US
Practice Address - Phone:573-686-5550
Practice Address - Fax:901-578-2572
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13544367500000X, 367500000X
MSR870276367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered