Provider Demographics
NPI:1598783300
Name:FELD, NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:FELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7557B DANNAHER WAY
Mailing Address - Street 2:SUITE G45
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-3568
Mailing Address - Country:US
Mailing Address - Phone:865-512-1180
Mailing Address - Fax:865-512-1185
Practice Address - Street 1:7557A DANNAHER DRIVE
Practice Address - Street 2:SUITE 130
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-3568
Practice Address - Country:US
Practice Address - Phone:865-512-1180
Practice Address - Fax:865-512-1185
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2018-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0154932080N0001X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3011562Medicaid
TN3011565Medicare ID - Type Unspecified
TN3011562Medicaid