Fidamar Medical LLP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FIDAMAR MEDICAL LLP

Practice address

451 W Milham Ave
Portage, MI 49024-2721

Phone

(269) 254-8400

Fax

(269) 254-8350

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Faidherbe Ceus

Title

Owner

Phone

(845) 623-3120

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1497511588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242721",
            "telephone_number": "269-254-8400",
            "fax_number": "269-254-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDAMAR MEDICAL LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "CEUS",
        "authorized_official_first_name": "FAIDHERBE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-623-3120"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Fenton, DDS
• Erica Fernandes, PT., MS
• Diego Ferreyra
• Lauren Fesler, LMSW
• Maura A Fichter, DDS
• Tonya Field
• Andre Rubin Fields, TLLP
• Amy Fill
• Jordan Fillar
• Brittany Lynn Finkler, AU.D

• Internal Medicine Physician in Portage, MI
• Providers in Portage, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.