DR. DAVID LEO FEDDERS (NPI# 1780796722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780796722 |
| Entity Type | Individual |
| Full Name | DR. DAVID LEO FEDDERS |
| Credential | MD |
| Practice Address |
1 W 4th St Rm 2250 Cincinnati OH 45202-3604 |
| Practice Telephone | 5137230390 |
| Practice Fax Number | 5137230480 |
| Mailing Telephone | 5137230390 |
| Mailing Fax Number | 5137230480 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
034451 | OH | Behavioral Health & Social Service Providers |
| N | 174400000X | Specialist | 04451 | OH | Other Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01075325A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0368927 | 05 |
| Street Address |
1 W 4TH ST RM 2250 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45202-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770971350 | City Dermatology and Laser | Dermatology | 1 W 4th St, Suite 2200, Cincinnati, OH 45202-3604 | 2015-01-05 |
| 1124233150 | Carson Bender Jr. | Technician/Technologist | 1 W 4th St, Room 423, Cincinnati, OH 45202-3604 | 2007-05-12 |
| 1003973694 | Dwight David Dessart | Dentist | 1 W 4th St, Suite 2710, Cincinnati, OH 45202 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811558067 | Courtney Stepp | Social Worker | 907 Vine St, Cincinnati, OH 45202 | 2019-06-27 |
| 1447726427 | Mark Kirby | Optometrist | 2045 Gilbert Avenue, Cincinnati, OH 45202 | 2018-10-17 |
| 1497233100 | Michael Mcmanus | Specialist/Technologist, Other | 8118 Corporate Way Suite 212, Evokes LLC, Cincinnati, OH 45202 | 2018-08-03 |
| 1891293924 | Samuel Thomas Tedtman | Specialist/Technologist | Great American Ball Park, 100 Joe Nuxhall Way, Cincinnati, OH 45202 | 2018-01-23 |
| 1013431006 | Shannon Kiniyalocts | Social Worker | 2208 Reading Road, Cincinnati, OH 45202 | 2017-08-01 |
| 1760937353 | Joyce Ann Thieman | Social Worker | 504 Hiberty Hill, Cincinnati, OH 45202 | 2016-08-24 |
| 1659825156 | Alicia Carver | Counselor | 911 Sycamore St # 400, Cincinnati, OH 45202 | 2016-08-12 |
| 1861836546 | Jeffrey Herbert Finke | Pharmacist | 945 Parkside Place, Apt 5, Cincinnati, OH 45202 | 2013-04-24 |
| 1942597141 | Kristin Erin Pletcher | Physician Assistant | 644 Eden Park Drive, Cincinnati, OH 45202 | 2011-07-08 |
| 1144514654 | James A Kirby IIi | Pharmacist | 555 Race St, Cincinnati, OH 45202 | 2011-06-01 |
| Find all providers in zip 45202 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669003281 | James Roger Nicholas | Psychiatry & Neurology | 11170 Maple Knoll Ter Unit L215, Cincinnati, OH 45246-4154 | 2020-02-02 |
| 1831551969 | Jennifer Mcphee | Psychiatry & Neurology | 3333 Burnet Ave # Mcl6015, Cincinnati, OH 45229-3026 | 2016-03-28 |
| 1790104099 | Brad Martin Wuerfel | Psychiatry & Neurology | 8050 Hosbrook Rd Ste 100, Cincinnati, OH 45236 | 2014-04-15 |
| 1255774873 | Sarbori Rumpa Bhattacharya | Psychiatry & Neurology | 7400 Graves Rd, Cincinnati, OH 45243-3549 | 2013-04-12 |
| 1902165459 | Sagi S Raju | Psychiatry & Neurology | 5355 Indian Heights Dr, Cincinnati, OH 45243-3838 | 2012-05-03 |
| 1144510447 | Carina Elizabeth Behrens | Psychiatry & Neurology | 3001 Highland Ave Ste D, Cincinnati, OH 45219-2315 | 2011-04-08 |
| 1578879979 | Giuliana Centurion | Psychiatry & Neurology | 3001 Highland Ave Ste B, Cincinnati, OH 45219-2315 | 2010-08-23 |
| 1477714830 | Logan K. Wink | Psychiatry & Neurology | 4790 Red Bank Rd Ste 212, Cincinnati, OH 45227-1509 | 2008-06-18 |
| 1841494531 | Mayra Lyzette Muniz-helm | Psychiatry & Neurology | 11156 Canal Rd Ste A, Cincinnati, OH 45241-5816 | 2007-06-14 |
| 1205047594 | Michael T Cannon | Psychiatry & Neurology | 4721 Reading Road, Cincinnati, OH 45237 | 2007-05-25 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45202 |
Please comment or provide details below to improve the information on DR. DAVID LEO FEDDERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.