Anastasia Neufeld, MD, FRCSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9720888-1205 Issued in UT

Practice address

65 Mario Capecchi Drive
Salt Lake City, UT 84132

Phone

(801) 585-6788

Fax

(801) 581-5806

NPI assigned

Jul 20, 2016

Last updated

Feb 16, 2017By 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 1

Addresses

Other names 1

• Anastasia Radetski Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1568815082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MARIO CAPECCHI DRIVE",
            "address_2": "UNIVERSITY OF UTAH, MORAN EYE CENTER",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84132",
            "telephone_number": "801-585-6788",
            "fax_number": "801-581-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MARIO CAPECCHI DRIVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84132",
            "telephone_number": "801-585-6788",
            "fax_number": "801-581-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUFELD",
        "first_name": "ANASTASIA",
        "name_prefix": "Dr.",
        "credential": "MD, FRCSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "9720888-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANASTASIA",
            "last_name": "RADETSKI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John A. Nestler, MD
• Danielle Nestor
• Elijah Netjes
• Brittani Neto, LCSW
• Jennifer Robyn Netto, LCSW
• Kim Neukam
• Jody S. Neuman, PHARM.D.
• Mark David Neuman, MD
• Neurobehavior Home Program
• Neurodiverse Psychological Services

• Ophthalmology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.