Active NPI
Stephen Feig, DO
- Family Medicine Physician
- Woodacre, CA
National Provider Identifier
1386769990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS-10433
- Practice address
- 86 Laurel Ave
Woodacre, CA 94973-1107 - Phone
- (415) 457-1350
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2OA5645 | CA | |
| Family Medicine Physician | 207Q00000X | OS-10433 | FL | Primary |
Addresses
Primary practice location
86 Laurel Ave
Woodacre, CA 94973-1107
Mailing address
640 S Washington Blvd Ste 150
Sarasota, FL 34236-7137
Phone (941) 552-4500
Other practice location 1
640 S Washington Blvd Ste 150
Sarasota, FL 34236-7137
Phone (941) 552-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 16, 2015 through Nov 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2OA5645 | CA | MD | Family Medicine Physician |
| OS-10433 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1386769990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S WASHINGTON BLVD STE 150",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342367137",
"telephone_number": "941-552-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 LAUREL AVE",
"city": "WOODACRE",
"state": "CA",
"postal_code": "949731107",
"telephone_number": "415-457-1350"
}
],
"practiceLocations": [
{
"address_1": "640 S Washington Blvd Ste 150",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342367137",
"country_code": "US",
"telephone_number": "941-552-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEIG",
"first_name": "STEPHEN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2023-07-18",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "2OA5645",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS-10433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodacre, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.