Provider Demographics
NPI:1902036619
Name:THE FELDMAN GROUP, INC.
Entity Type:Organization
Organization Name:THE FELDMAN GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:580-541-8044
Mailing Address - Street 1:1202 W WILLOW RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-2530
Mailing Address - Country:US
Mailing Address - Phone:580-541-8044
Mailing Address - Fax:
Practice Address - Street 1:1202 W WILLOW RD
Practice Address - Street 2:SUITE C
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-2530
Practice Address - Country:US
Practice Address - Phone:580-541-8044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK158332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty