Active NPI
Harvey J Featherstone, MD
- Internal Medicine Physician
- Capitan, NM
National Provider Identifier
1376768309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9145
- Practice address
- 517 Highway 380
Christ Community Fellowship Church
Capitan, NM 88316 - Phone
- (575) 354-1515
- Fax
- (575) 354-1815
- NPI assigned
- Apr 16, 2007
- Last updated
- Sep 4, 2008
- 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 | 9145 | NM | Primary |
Addresses
Primary practice location
517 Highway 380
Christ Community Fellowship Church
Capitan, NM 88316
Mailing address
PO Box 667
Capitan, NM 88316-0667
Phone (575) 354-1515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31655 | Medicaid | NM |
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 |
|---|---|---|---|
| 9145 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvey J. Featherstone, MD, PC | Past | Accepting new patients | |
| Milagro Medical Group PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Capitan, NM
- NPI 1538314745
-
- Hospitalist Physician
- Albuquerque, NM
- NPI 1548265713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1376768309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 667",
"city": "CAPITAN",
"state": "NM",
"postal_code": "883160667",
"telephone_number": "575-354-1515",
"fax_number": "575-354-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 HIGHWAY 380",
"address_2": "CHRIST COMMUNITY FELLOWSHIP CHURCH",
"city": "CAPITAN",
"state": "NM",
"postal_code": "88316",
"telephone_number": "575-354-1515",
"fax_number": "575-354-1815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEATHERSTONE",
"first_name": "HARVEY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "9145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31655",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Capitan, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.