Active NPI
Patrick D. McFeely, M.D.
- Internal Medicine Physician
- Massillon, OH
National Provider Identifier
1245230002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 050024
- Practice address
- 2500 Wales Ave NW
Massillon, OH 44646 - Phone
- (330) 833-8996
- Fax
- (330) 833-6969
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 050024 | OH | Primary |
Addresses
Primary practice location
2500 Wales Ave NW
Massillon, OH 44646
Mailing address
2500 Wales Ave NW
Massillon, OH 44646
Phone (330) 833-8996
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9912011 | Other | OH | MEDICARE GROUP PIN |
| 0580901 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050024 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ekg Diagnostic Associates, LTD | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Massillon, OH
- NPI 1821198128
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247011200000",
"number": "1245230002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 WALES AVE NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "44646",
"telephone_number": "330-833-8996",
"fax_number": "330-833-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 WALES AVE NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "44646",
"telephone_number": "330-833-8996",
"fax_number": "330-833-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFEELY",
"first_name": "PATRICK",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2009-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "050024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "9912011",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0580901",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.