Marvin a Feldstein MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35026484F Issued in OH

Legal business name

MARVIN A FELDSTEIN MD INC

Practice address

8224 Mentor Ave
Ste 146
Mentor, OH 44060-5768

Phone

(440) 255-3555

Fax

(440) 255-4959

NPI assigned

Mar 26, 2010

Organization subpart

No

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

Authorized official

Name

Marvin A Feldstein, MD

Title

Owner

Phone

(440) 255-3555

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1346564820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8224 MENTOR AVE",
            "address_2": "STE 146",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605768",
            "telephone_number": "440-255-3555",
            "fax_number": "440-255-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 MENTOR AVE",
            "address_2": "STE 146",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605768",
            "telephone_number": "440-255-3555",
            "fax_number": "440-255-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN A FELDSTEIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "FELDSTEIN",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-255-3555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35026484F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2692831",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000164017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond James Marshall Jr., LPCC, CDCA
• Connie M Martin
• Danielle Martin, LSW
• Rebekah Martin
• Erica Rose Martino, LPN
• Marway L.a.S., Inc.
• Alyssa Mathews
• Jahnae Alexis Matlock, LICDC
• Shannon Leigh Matsko, LPCC-S
• Carol Rose Matthews, APN, CNS

• Internal Medicine Physician in Mentor, OH
• Providers in Mentor, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.