Fred M Feinsod, MD, PC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

30929 Issued in CO

Legal business name

FRED M FEINSOD, MD, PC

Practice address

9 Alta Vista Rd
Colorado Springs, CO 80906-4202

Phone

(719) 689-2931

Fax

(719) 689-3702

NPI assigned

Feb 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Fred M Feinsod, MD

Title

Owner

Phone

(719) 689-2931

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1336388073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ALTA VISTA ROAD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809060009",
            "telephone_number": "719-689-2931",
            "fax_number": "719-689-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ALTA VISTA RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064202",
            "telephone_number": "719-689-2931",
            "fax_number": "719-689-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED M FEINSOD, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "FEINSOD",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-689-2931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "30929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01309293",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna E Frazier
• Evan Frazier, DMD
• Kristen Frazier, DDS
• Lashay Yvonne Jane Frazier
• Tracy Frazier, LMT
• Caralee Frederic, LCSW
• Kristine Frederick, NP
• Scott Nathaniel Frederick, DDS
• Tamara Frederick, PA-C
• Theresa Frederick

• Skilled Nursing Facility in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.