Individual provider Active NPI

Richard A Feit, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Johnson City, TN
National Provider Identifier
1164793774
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD0000014153 Issued in TN
Practice address
East Tennessee State University Quillen College
Of Medicine Department of Academic Affairs
Johnson City, TN 37614-1708
Phone
(423) 439-2423
NPI assigned
Jan 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD0000014153 TN Primary

Addresses

Primary practice location

East Tennessee State University Quillen College
Of Medicine Department of Academic Affairs
Johnson City, TN 37614-1708

Mailing address

Box 70571
Qcom Academic Affairs East Tennessee State University
Johnson City, TN 37614-1708
Phone (423) 439-2423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000014153TNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1164793774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 70571",
            "address_2": "QCOM ACADEMIC AFFAIRS EAST TENNESSEE STATE UNIVERSITY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376141708",
            "telephone_number": "423-439-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE",
            "address_2": "OF MEDICINE DEPARTMENT OF ACADEMIC AFFAIRS",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376141708",
            "telephone_number": "423-439-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIT",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TN",
            "license": "MD0000014153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.