Frederick T Feaster MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME79534 Issued in FL

Legal business name

FREDERICK T FEASTER MD INC

Practice address

2200 16TH St N
St Petersburg, FL 33704-3106

Phone

(727) 822-4729

Fax

(727) 894-5744

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Frederick Thomason Feaster, M.D.

Title

President

Phone

(727) 822-4729

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851482830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043106",
            "telephone_number": "727-822-4729",
            "fax_number": "727-894-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043106",
            "telephone_number": "727-822-4729",
            "fax_number": "727-894-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK T FEASTER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEASTER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "THOMASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-822-4729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME79534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4409061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1716568008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Loren Frazier, LCPC
• Viviana C Frazier, M.D.
• Haley Nichole Fream, OTR/L
• Amanda Frechette
• Freddie L McRae MD PA
• Ashley Fredericks
• Irina Fredericks, PH.D., LMHC
• Lawrence Robert Free, D.C.
• Charles R Freeble III, MD
• Carlee Freed, PA

• Ophthalmology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.