Organization Active NPI

Edward J Feller MD PA

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1548228091
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME19441 Issued in FL
Legal business name
EDWARD J FELLER MD PA
Practice address
8353 SW 124 Street
Suite #203
Miami, FL 33156-5847
Phone
(305) 259-8720
Fax
(305) 259-8725
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Edward J Feller, MD
Title
President
Phone
(305) 259-8720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME19441 FL Primary

Addresses

Primary practice location

8353 SW 124 Street
Suite #203
Miami, FL 33156-5847

Mailing address

8353 SW 124 Street
Suite #203
Miami, FL 33156-5847
Phone (305) 259-8720

Other identifiers 1

IdentifierTypeStateIssuer
052519700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1548228091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8353 SW 124 STREET",
            "address_2": "SUITE #203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565847",
            "telephone_number": "305-259-8720",
            "fax_number": "305-259-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8353 SW 124 STREET",
            "address_2": "SUITE #203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565847",
            "telephone_number": "305-259-8720",
            "fax_number": "305-259-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J FELLER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "FELLER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-259-8720",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME19441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052519700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.