Mark S. Feldman, M.D. P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036058043 Issued in IL

Legal business name

MARK S. FELDMAN, M.D. P.C.

Doing business as

Mark S. Feldman, M.D.

Practice address

311 W Lincoln St
Suite 100
Belleville, IL 62220-1902

Phone

(618) 233-3661

Fax

(618) 233-0992

NPI assigned

Apr 25, 2013

Last updated

Apr 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana Miles

Title

Office Manager

Phone

(618) 233-3661

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mark S. Feldman, M.D. Doing business as

Locations

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1851735450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W LINCOLN ST",
            "address_2": "SUITE 100",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201902",
            "telephone_number": "618-233-3661",
            "fax_number": "618-233-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W LINCOLN ST",
            "address_2": "SUITE 100",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201902",
            "telephone_number": "618-233-3661",
            "fax_number": "618-233-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S. FELDMAN, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-233-3661"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036058043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058043",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark S. Feldman, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Mansfield, PT
• Lindsay Merle Mansfield, M.S. CCC-SLP
• Geofry D. Manzo, ATC
• Noreen Manzoor
• Stuart L Marcus, LCSW, ACSW
• John Robert Markarian, D.M.D.
• Kenyetta Montrece Marshall-Williams, LCSW
• Alexis Joelle Marshall
• Anna Marshall, BCCHHP
• Eric Ray Marshall, RN

• Specialist in Belleville, IL
• Providers in Belleville, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.