Angela Fedorcuk, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DPM260 Issued in RI

Practice address

970 Hope Street
Suite 6
Bristol, RI 02809-5210

Phone

(401) 254-0922

Fax

(401) 254-8894

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467547661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 HOPE STREET",
            "address_2": "SUITE 6",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028095210",
            "telephone_number": "401-254-0922",
            "fax_number": "401-254-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 HOPE STREET",
            "address_2": "SUITE 6",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028095210",
            "telephone_number": "401-254-0922",
            "fax_number": "401-254-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORCUK",
        "first_name": "ANGELA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "DPM260",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1941",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007059",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2700166",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70599",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deana Pellegrini Dufficy, M.S. CCC-SLP
• Edwards Health LLC (Bristol Chiropractic)
• Robert Browning Edwards II, D.C.
• James William Enos
• Kerri Estrella
• Simon Fensterszaub, D.O.
• April Fernandez
• Caleb Ferreira
• Haley Ferreira
• Jennifer Lynn Ferreira, RPH

• Podiatrist in Bristol, RI
• Providers in Bristol, RI by specialty
• Podiatrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.