Doreen Eleanor Feldhouse, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD25289 Issued in TN

Practice address

1716 Parr Ave
Suite D
Dyersburg, TN 38024-2073

Phone

(731) 288-0911

Fax

(731) 288-0065

NPI assigned

Jul 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1922006055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 PARR AVE",
            "address_2": "SUITE D",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242073",
            "telephone_number": "731-288-0911",
            "fax_number": "731-288-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 PARR AVE",
            "address_2": "SUITE D",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242073",
            "telephone_number": "731-288-0911",
            "fax_number": "731-288-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDHOUSE",
        "first_name": "DOREEN",
        "middle_name": "ELEANOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD25289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081654",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.