Organization Active NPI

Philip J. Feitelson, M.D. PSC

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1134226350
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14546 Issued in KY
Legal business name
PHILIP J. FEITELSON, M.D. PSC
Practice address
225 Abraham Flexner Way
Suite 301
Louisville, KY 40202-1846
Phone
(502) 585-4857
Fax
(502) 585-4857
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Dr. Philip J Feitelson, M.D.
Title
President
Phone
(502) 585-4857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 14546 KY Primary

Addresses

Primary practice location

225 Abraham Flexner Way
Suite 301
Louisville, KY 40202-1846

Mailing address

225 Abraham Flexner Way
Suite 301
Louisville, KY 40202-1846
Phone (502) 585-4857

Other identifiers 1

IdentifierTypeStateIssuer
64145469MedicaidKY

National Provider Directory

National Provider Directory

Locations

225 Abraham Flexner Way
Ste 301
Louisville, KY 40202
Phone (502) 585-4857

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1134226350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ABRAHAM FLEXNER WAY",
            "address_2": "SUITE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021846",
            "telephone_number": "502-585-4857",
            "fax_number": "502-585-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ABRAHAM FLEXNER WAY",
            "address_2": "SUITE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021846",
            "telephone_number": "502-585-4857",
            "fax_number": "502-585-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J. FEITELSON, M.D. PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "FEITELSON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-585-4857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "14546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64145469",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.