Provider Demographics
NPI:1982686630
Name:FELER, CLAUDIO A (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDIO
Middle Name:A
Last Name:FELER
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:PO BOX 20970
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82003-7020
Mailing Address - Country:US
Mailing Address - Phone:307-632-9261
Mailing Address - Fax:307-634-9170
Practice Address - Street 1:2301 HOUSE AVE
Practice Address - Street 2:SUITE 505
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-3176
Practice Address - Country:US
Practice Address - Phone:307-632-9261
Practice Address - Fax:607-634-9170
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD17514207T00000X
CO50312207T00000X
WY9812A207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3051264Medicaid
CO25900544Medicaid
E40678Medicare UPIN
TN3051264Medicaid
CO25900544Medicaid