Individual provider Active NPI

Michael J Felter, MD

  • Orthopaedic Surgery Physician
  • Sandusky, OH
National Provider Identifier
1629059597
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
3544184 Issued in OH
Practice address
1401 Bone Creek Dr
Sandusky, OH 44870-7267
Phone
(419) 625-4900
Fax
(419) 621-9768
NPI assigned
Nov 8, 2005
Last updated
Dec 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 3544184 OH Primary

Addresses

Primary practice location

1401 Bone Creek Dr
Sandusky, OH 44870-7267

Mailing address

1401 Bone Creek Dr
Sandusky, OH 44870-7267
Phone (419) 625-4900

Other identifiers 1

IdentifierTypeStateIssuer
0517828MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100326000664 OH Practitioner - Orthopedic Surgery 2163326505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3544184OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Jan 1, 2017 Accepting new patients
North Coast Professional Company, LLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

1031 Pierce St
Sandusky, OH 44870
Phone (419) 557-5541

1401 Bone Creek Dr
Sandusky, OH 44870
Phone (419) 621-0035

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1629059597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BONE CREEK DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707267",
            "telephone_number": "419-625-4900",
            "fax_number": "419-621-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BONE CREEK DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707267",
            "telephone_number": "419-625-4900",
            "fax_number": "419-621-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "3544184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0517828",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.