Maria Fedor, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME56611 Issued in FL

Practice address

200 NW 7TH Ave
Phoenix Emergency Medicine of Broward
Ft Lauderdale, FL 33311-9026

Phone

(954) 759-6793

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bethesda/Solantic Joint Venture, LLC

  • Urgent Care Clinic/Center
  • Boynton Beach, FL
  • NPI 1730329038
  NPD (past)
• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1992708887
  NPD (past)
• Tenet-Solantic Joint Venture LLC

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1104159755
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1215926670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 S OCEAN LN",
            "address_2": "#151",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163343",
            "telephone_number": "954-524-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NW 7TH AVE",
            "address_2": "PHOENIX EMERGENCY MEDICINE OF BROWARD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333119026",
            "telephone_number": "954-759-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDOR",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME56611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370912499",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Fawcett, PHD, LCSW
• Fay'S World LLC
• Ilya Faybishenko
• Yairsa Fayula Sarmientos
• Federico J Perez DMD Inc
• Feel 21, Inc.
• Miriam Nechama Fein, MSN, APRN, FNP-C
• Janet Feinstein, CDR #672711
• Daniel B Feit, DMD
• David Scott Felder, M.D.

• Family Medicine Physician in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.