Individual provider Active NPI

Feliciano Robert G. Dolor, MD

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1811068471
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35033398 Issued in OH
Practice address
500 E Main St
Ste 100
Columbus, OH 43215-5369
Phone
(614) 222-2202
Fax
(614) 222-3301
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35033398 OH Primary

Addresses

Primary practice location

500 E Main St
Ste 100
Columbus, OH 43215-5369

Mailing address

1299 Olentangy River Rd
#103
Columbus, OH 43212-3135
Phone (614) 566-4278

Other identifiers 1

IdentifierTypeStateIssuer
0179551MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35033398OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Trauma Services LTD Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1811068471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 OLENTANGY RIVER RD",
            "address_2": "#103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123135",
            "telephone_number": "614-566-4278",
            "fax_number": "614-566-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST",
            "address_2": "STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155369",
            "telephone_number": "614-222-2202",
            "fax_number": "614-222-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLOR",
        "first_name": "FELICIANO",
        "middle_name": "ROBERT G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35033398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179551",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.