Active NPI
Andrew C Feldman, D.O.
- Family Medicine Physician
- Deland, FL
National Provider Identifier
1780687848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS4575
- Practice address
- 800 N Stone St
Deland, FL 32720-3256 - Phone
- (386) 736-4912
- Fax
- (386) 738-0016
- NPI assigned
- May 23, 2005
- Last updated
- May 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS4575 | FL | Primary |
Addresses
Primary practice location
800 N Stone St
Deland, FL 32720-3256
Mailing address
800 N Stone St
Deland, FL 32720-3256
Phone (386) 736-4912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077901600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ormond Medical Arts Family Practice LLC | Family Medicine | Current | Accepting new patients |
| Andrew C Feldman DO PA | Past | Accepting new patients | |
| Memorial Hospital-West Volusia Inc | Past | Accepting new patients |
Locations
800 N Stone St
Deland, FL 32720
Phone (386) 736-4912
77 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 677-0453
Interoperability endpoints
- andrew.feldman.3@1579.direct.athenahealth.com
- https://api.platform.athenahealth.com/1579/brand/8/csg/141/fhir/r4
Organizations & group practices 4
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.
-
dba Complete Health
- Family Medicine Physician
- Ormond Beach, FL
- NPI 1326254962
-
- Family Medicine Physician
- Deland, FL
- NPI 1821304429
-
dba AdventHealth DeLand
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1780687848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N STONE ST",
"city": "DELAND",
"state": "FL",
"postal_code": "327203256",
"telephone_number": "386-736-4912",
"fax_number": "386-738-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N STONE ST",
"city": "DELAND",
"state": "FL",
"postal_code": "327203256",
"telephone_number": "386-736-4912",
"fax_number": "386-738-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "ANDREW",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS4575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "077901600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
- Latrelle A Fakeye, RPH
- Family Practice of West Volusia Inc (Family Practice of West Volusia- Deland)
- Family Practice of West Volusia, P.a.
- Judson Fann, MS, ATC, LAT, CSCS
- Robert Fechtenburg, CRNA
- Jacinta F Feldman, CNM
- Brooke Fernandez, ND
- Yahaira Fernandez, APRN
- Heather Kathleen Feroglia, MOT, OTR/L
- Chelsie Renee Ferrell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.