Matthew C Fedor, MD

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

MD27542 Issued in OR

Practice address

610 Hawthorne Ave SE Ste 110
Salem, OR 97301

Phone

(503) 814-4440

Fax

(503) 814-4444

NPI assigned

Oct 5, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiac Electrophysiology

Education

Washington University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Marquette Physician Practices IncGroup PAC ID 9931359601, 193 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054
• Up Health System Portage Hospital, Hancock, MI, CCN 230108
• Baraga County Memorial Hospital Hospital, L' Anse, MI, CCN 231307
• Schoolcraft Memorial Hospital Hospital, Manistique, MI, CCN 231303
• Helen Newberry Joy Hospital Hospital, Newberry, MI, CCN 231304

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.fedor.1@8233.direct.athenahealth.com

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.

• DLP Marquette Physician Practices Inc

  • Obesity Medicine (Internal Medicine) Physician
  • Marquette, MI
  • NPI 1487902995
  Medicare reassignment Care Compare group NPD
• DLP Marquette Physician Practices Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Marquette, MI
  • NPI 1073861431
  NPD
• DLP Marquette Physician Practices Inc

  • Rural Health Clinic/Center
  • Marquette, MI
  • NPI 1205635760
  NPD
• DLP Marquette Physician Practices Inc

  • Emergency Medicine Physician
  • Marquette, MI
  • NPI 1366790727
  NPD (past)
• Nebraska Heart Institute PC

  • Cardiovascular Disease Physician
  • Lincoln, NE
  • NPI 1336125202

  Clinical Cardiac Electrophysiology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baraga County Memorial Hospital

  • Critical Access Hospital
  • Lanse, MI
  • NPI 1558479824
  Care Compare affiliation
• DLP Marquette General Hospital LLC

  • General Acute Care Hospital
  • Marquette, MI
  • NPI 1568727048
  Care Compare affiliation
• Helen Newberry Joy Hospital & Healthcare Center

  • Critical Access Hospital
  • Newberry, MI
  • NPI 1497742050
  Care Compare affiliation
• Portage Hospital LLC

  • General Acute Care Hospital
  • Hancock, MI
  • NPI 1245667229
  Care Compare affiliation
• Schoolcraft Memorial Hospital

  • Critical Access Hospital
  • Manistique, MI
  • NPI 1700805157
  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1235225624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973080886",
            "telephone_number": "503-814-4440",
            "fax_number": "503-814-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HAWTHORNE AVE SE STE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-814-4440",
            "fax_number": "503-814-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 Winter St SE Ste B0350",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013934",
            "country_code": "US",
            "telephone_number": "503-814-4440",
            "fax_number": "503-814-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDOR",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OR",
            "license": "MD27542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274652",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R152647",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Faville, LMT
• Kathryn Fawley, L.M.T.
• Christine Ann Featherstone
• Miranda Featherstone
• Arlene Elizabeth Feddern, RN
• Conor Joseph Feeney
• Cynthia Jane Fegles, MA, LMFT, CADCI
• Michelle Elizabeth Feldman, D.O.
• Catherine Mary Emilia Feltz, LMT
• Emma Felzien, MD

• Clinical Cardiac Electrophysiology Physician in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Cardiac Electrophysiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.