Felicia Ivascu, M.D. PLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301076031 Issued in MI

Legal business name

FELICIA IVASCU, M.D. PLC

Practice address

3535 W 13 Mile Rd
Royal Oak, MI 48073-6710

Phone

(248) 288-1130

Fax

(248) 288-5931

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Felicia A Ivascur, M.D.

Title

Owner

Phone

(248) 288-1130

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1275759227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-288-1130",
            "fax_number": "248-288-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-288-1130",
            "fax_number": "248-288-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICIA IVASCU, M.D. PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "IVASCUR",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-288-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301076031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5180350",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolas Fedirko, FNP-BC
• Maria Theresa Fedor, RPH
• Michelle Coleen Fedoruk
• John Matthew Felder III, MD
• Edward Rothwell Feldman, MD
• Jining Feng, MD PHD
• Nicole Marie Ferlito, PA-C
• Kathleen Carol Fernandez, LLPC
• Lorena Gisele Ferreira Gomes, MD
• Julie Ann Ferris, M.D.

• Specialist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.