Organization Active NPI

Dr. Marc Feldman DPM PA

Doing business as Feldman Foot Clinic

  • Podiatrist
  • Winter Haven, FL
National Provider Identifier
1932395407
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1860 Issued in FL
Legal business name
DR. MARC FELDMAN DPM PA
Doing business as
Feldman Foot Clinic
Practice address
401 E Central Ave
Winter Haven, FL 33880-3051
Phone
(863) 299-9100
Fax
(863) 299-4352
NPI assigned
Sep 19, 2007
Last updated
Dec 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Mrs. Ilisabeth Feldman
Title
Business Manager
Phone
(863) 604-4431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO1860 FL Primary

Addresses

Primary practice location

401 E Central Ave
Winter Haven, FL 33880-3051

Mailing address

401 E Central Ave
Winter Haven, FL 33880-3051
Phone (863) 299-9100

Other identifiers 1

IdentifierTypeStateIssuer
029728300MedicaidFL

Other names 1

  • Feldman Foot Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

401 E Central Ave
Winter Haven, FL 33880
Phone (863) 299-9100

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1932395407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803051",
            "telephone_number": "863-299-9100",
            "fax_number": "863-299-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803051",
            "telephone_number": "863-299-9100",
            "fax_number": "863-299-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARC FELDMAN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "ILISABETH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "863-604-4431",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029728300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Feldman Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.