Isam Felahy M D Inc

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

A25226 Issued in CA

Legal business name

ISAM FELAHY M D INC

Doing business as

Isam Felahy MD FRCS Inc

Practice address

2800 N California St
Suite 15
Stockton, CA 95204-3757

Phone

(209) 466-3457

Fax

(209) 466-1229

NPI assigned

Jun 14, 2010

Organization subpart

Yes

Parent organization

ISAM FELAHY MD FRCS INCAs reported in NPPES

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

Authorized official

Name

Isam Felahy, M.D.

Title

President

Phone

(209) 466-3457

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ISAM FELAHY MD FRCS INC Doing business as

Part of

Isam Felahy MD Inc

Locations

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1184945180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N CALIFORNIA ST",
            "address_2": "SUITE 15",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043757",
            "telephone_number": "209-466-3457",
            "fax_number": "209-466-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N CALIFORNIA ST",
            "address_2": "SUITE 15",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043757",
            "telephone_number": "209-466-3457",
            "fax_number": "209-466-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAM FELAHY M D INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISAM FELAHY MD FRCS INC",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "FELAHY",
        "authorized_official_first_name": "ISAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-466-3457",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A25226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109416",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ISAM FELAHY MD FRCS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Jane Iris, RN
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• Tiana Irving
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• James Donald Irwin, D.C.
• Lester Tsuyoshi Iseri, PHARMD
• Nahd Ishaq
• Faith Isiderio, PTA
• Francis Isidoro, M.D.
• Oscar O Isidoro, MD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.