Organization Active NPI

Susan Dallas-Feeney, D.O., LLC

  • Family Medicine Physician
  • West Chester, PA
National Provider Identifier
1093996191
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUSAN DALLAS-FEENEY, D.O., LLC
Practice address
42-46 East Strreet Road
West Chester, PA 19382
Phone
(610) 399-1100
Fax
(610) 399-1393
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Dr. Susan Dallas-Feeney, D.O.NPI 1922187277
Title
Owner
Phone
(610) 399-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

42-46 East Strreet Road
West Chester, PA 19382

Mailing address

42-46 East Strreet Road
West Chester, PA 19382
Phone (610) 399-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080117000591 PA Part B Supplier - Clinic/Group Practice 0840371605 Receives reassigned benefits from 1 practitioner
Practice locations: West Chester, PA

National Provider Directory

National Provider Directory

Locations

1396 Wilmington Pike
Ste B
West Chester, PA 19382
Phone (610) 399-1377

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1093996191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42-46 EAST STRREET ROAD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19382",
            "telephone_number": "610-399-1100",
            "fax_number": "610-399-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42-46 EAST STRREET ROAD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19382",
            "telephone_number": "610-399-1100",
            "fax_number": "610-399-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN DALLAS-FEENEY, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "DALLAS-FEENEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-399-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.