Active NPI
Mary Colleen Feldkircher, M.D.
- Anesthesiology Physician
- Painesville, OH
National Provider Identifier
1831186782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35.055667
- Practice address
- 7757 Auburn Rd Ste 15
Painesville, OH 44077-9604 - Phone
- (440) 350-0832
- Fax
- (440) 354-7420
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35.055667 | OH | Primary |
Addresses
Primary practice location
7757 Auburn Rd Ste 15
Painesville, OH 44077-9604
Mailing address
40 W Erie St
Suite 203
Painesville, OH 44077-3274
Phone (440) 350-0832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0879769 | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Anesthesia Group, Inc | Anesthesiology | 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.
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1831186782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 W ERIE ST",
"address_2": "SUITE 203",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440773274",
"telephone_number": "440-350-0832",
"fax_number": "440-354-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7757 AUBURN RD STE 15",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440779604",
"telephone_number": "440-350-0832",
"fax_number": "440-354-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDKIRCHER",
"first_name": "MARY",
"middle_name": "COLLEEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.055667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0879769",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.