Marc F. Fedder, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26817 Issued in NC

Legal business name

MARC F. FEDDER, MD, PA

Practice address

206 W Center St Ste B
Lexington, NC 27292-3056

Phone

(336) 249-4296

Fax

(336) 249-1893

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Marc Fredric Fedder, MD, FACP

Title

President

Phone

(336) 249-4296

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1093984791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272930557",
            "telephone_number": "336-249-4296",
            "fax_number": "336-249-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W CENTER ST STE B",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272923056",
            "telephone_number": "336-249-4296",
            "fax_number": "336-249-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC F. FEDDER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "FEDDER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "FREDRIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-249-4296",
        "authorized_official_credential": "MD, FACP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "26817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110006374",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "2310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "31450",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8931450",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Grace Mahoney, MD
• Helen Jean Macmillan Malone, MD
• Shombai L Malone, OTR
• Aaron Mandzak
• Mansi Shah DMD PC
• Marigold Behavioral Health, PLLC.
• Mark R Cowan DMD PA
• Michelle Tara Marrs
• Cheryl Martin-Williams
• Meredith Martin, LCSWA

• Internal Medicine Physician in Lexington, NC
• Providers in Lexington, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.