Ronald JC Fejeran, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0999 Issued in TN

Practice address

1442 N Broad St
Suite 7
Tazewell, TN 37879-4361

Phone

(423) 626-1931

Fax

(423) 626-1948

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Emergency Medicine, Family Practice, Osteopathic Manipulative Medicine, Pediatric Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Claiborne Medical Center Hospital, Tazewell, TN, CCN 440057

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatrics to Parents Medical, PC

  • Multi-Specialty Clinic/Center
  • Tazewell, TN
  • NPI 1912189085
  Medicare reassignment NPD Authorized official
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Internal Medicine

  NPD (past)
• Jacksboro Urgent Care

  • Urgent Care Clinic/Center
  • Jacksboro, TN
  • NPI 1629536362
  NPD (past)
• Tazewell Medical Clinic, Inc.

  • Clinic/Center
  • Tazewell, TN
  • NPI 1417001645
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Claiborne Medical Center

  • General Acute Care Hospital
  • Tazewell, TN
  • NPI 1942205166
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1073518288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "address_2": "ATTN: CREDENTIALING",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378240959",
            "telephone_number": "423-626-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 N BROAD ST",
            "address_2": "SUITE 7",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378794361",
            "telephone_number": "423-626-1931",
            "fax_number": "423-626-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEJERAN",
        "first_name": "RONALD",
        "middle_name": "JC",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "999",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "D0999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3303563",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506800",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edelweiss Housecalls
• Emaline'S Home Medical Equipment, LLC
• Jami D England, ARNP
• Joanna Minton England, B.S.
• Family Respiratory Services LLC
• Michael Tyler Fergerson, PHARMD
• Chelsea Rae Garvin, NP
• George Steven Malone, O.D.P.C.
• Janet Gilbert, SPEECH PATHOLOGIST
• Rosemary Kay Hall, DC

• Internal Medicine Physician in Tazewell, TN
• Providers in Tazewell, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.