Provider Demographics
NPI:1922075530
Name:FEICK, STEVEN WADE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:WADE
Last Name:FEICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 WESTAGE BUSINESS CTR DR
Mailing Address - Street 2:SUITE 280
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2260
Mailing Address - Country:US
Mailing Address - Phone:800-835-3723
Mailing Address - Fax:888-847-0818
Practice Address - Street 1:300 WESTAGE BUSINESS CTR DR
Practice Address - Street 2:SUITE 280
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2260
Practice Address - Country:US
Practice Address - Phone:800-835-3723
Practice Address - Fax:888-847-0818
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2682582085R0202X
TNMD375102085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3884437Medicaid
4062149OtherBCBS
4102591OtherBCBS
P00021049OtherRR MEDICARE
TN3884438Medicaid
TN3884435Medicaid
P00280210OtherRR MEDICARE
TNH40233Medicare UPIN
P00021049OtherRR MEDICARE
P00280210OtherRR MEDICARE
TN3884438Medicaid