Leonard Feldman, MD
Individual provider Active NPI Family Medicine Physician · Haines, AK
NPI 1831285519 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831285519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- AA1878 (AK)
- Practice address
- 974 Mud Bay Rd
Haines, AK 99827-0697 - Phone
- (907) 766-3009
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA1878 | AK | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AA1878 | AK | Yes |
Addresses
Primary practice location
974 Mud Bay Rd
Haines, AK 99827-0697
Mailing address
PO Box 697
Haines, AK 99827-0697
Phone (907) 766-3009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD1878 | Medicaid | AK |
Other providers in Haines, AK
- Brianna Gibbs Cooper
- Makayla Ann Crager
- Laurie Dadourian
- Raven Davis
- Adam Kelley Dupaul
- Katherine Fossman
- Four Ravens Occupational Therapy LLC
- Four Ravens Occupational Therapy LLC
- Monique Octavia Frith
- Marie Rose Fudge
All providers in Haines, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.