Provider Demographics
NPI:1932191095
Name:FEYRER MELK, ANNE MARIE (MD)
Entity Type:Individual
Prefix:
First Name:ANNE MARIE
Middle Name:
Last Name:FEYRER MELK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9965 N 95TH ST
Mailing Address - Street 2:SUITE #110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4594
Mailing Address - Country:US
Mailing Address - Phone:480-941-0800
Mailing Address - Fax:480-941-8333
Practice Address - Street 1:9965 N 95TH ST
Practice Address - Street 2:SUITE #110
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4594
Practice Address - Country:US
Practice Address - Phone:480-941-0800
Practice Address - Fax:480-941-8333
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ21595207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0876760OtherBLUE CROSS/SHIELD
AZ060061842OtherRAILROAD MEDICARE
AZ2595201OtherGHI
AZ402107Medicaid
AZ1Z3962OtherHEALTHNET
AZZ63831Medicare PIN
AZ1Z3962OtherHEALTHNET