DOUGLAS JOHN FEDERLE


Address: 940 N Marr Rd, Suite C, Columbus, IN 47201-2610
Phone: 8123769353

DOUGLAS JOHN FEDERLE (NPI# 1942236849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942236849
Entity Type Individual
Full Name DOUGLAS JOHN FEDERLE
Credential MD
Practice Address 940 N Marr Rd
Suite C
Columbus
IN 47201-2610
Practice Telephone 8123769353
Practice Fax Number 8123763757
Mailing Telephone 8123769353
Mailing Fax Number 8123763757
Enumeration Date 2006-06-23
Last Update Date 2009-08-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 01057258 IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN RAILROAD MEDICARE P00035877 01
IN 200430770 05
IN ANTHEM 000000279343 01
IN SIHO 022011 01

Office Location

Street Address 940 N MARR RD
SUITE C
City COLUMBUS
State IN
Zip Code 47201-2610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689660425 Tina M Latta Nurse Practitioner 940 N Marr Rd, Suite B, Columbus, IN 47201-2609 2005-09-27
1720416985 Traci M Lyons Physician Assistant 940 N Marr Rd, Suite C, Columbus, IN 47201-2609 2013-10-28
1205260593 Andrew J Walker Physician Assistant 940 N Marr Rd, Suite C, Columbus, IN 47201-2609 2013-08-22
1932313996 Allison Rae Clock Physician Assistant 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 2007-05-09
1316072804 Southern Indiana Orthopedics Durable Medical Equipment & Medical Supplies 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 2007-02-23
1023034519 Andrew J Bulla Physician Assistant 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 2006-07-15
1851321426 Larry Dean Olson Orthopaedic Surgery 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 2006-07-03
1548299969 Thomas W Marshall Orthopaedic Surgery 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 2006-06-30
1144259623 Lisa R Lanham Podiatrist 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 2006-06-30
1679501605 Southern Indiana Orthopedics Inc Orthopaedic Surgery 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 2006-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699389569 Ryanne Nicole Slavens Speech-Language Pathologist 1974 Glenmoor Drive, Columbus, IN 47201 2020-09-08
1023670759 Alisha Nicole Scoville Counselor 2630 22nd Street, Columbus, IN 47201 2019-07-02
1467964718 Columbus Radiology Physicians LLC Radiology 2400 E. 17th Street, Columbus, IN 47201 2017-10-26
1790148849 Gabriel Woon Specialist 913 25th St., Columbus, IN 47201 2016-04-05
1144680604 Forefront Dermatology, S.c. Dermatology 244 Westwood Blvd, Columbus, IN 47201 2016-02-26
1871832550 Jennifer Lynn Grant Nurse Practitioner 836 Jackson St., Columbus, IN 47201 2013-01-31
1235404526 Eric Philip Tannenbaum Orthopaedic Surgery 940 N Marr Rd Ste C, Columbus, IN 47201 2012-03-20
1881994176 Terri Ann Brewer Social Worker 12000 W. Moores Vineyard Rd, Columbus, IN 47201 2010-11-02
1255654620 The Kane Group LLC Durable Medical Equipment & Medical Supplies 927 Fourth Street, Columbus, IN 47201 2010-03-12
1023243771 Allison K Royer Otolaryngology 2326 18th Street, Suite 230, Columbus, IN 47201 2009-05-26
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164861449 Shawn R Brandenburg Orthopaedic Surgery 4508 38th Street, Suite 133, Columbus, NE 68601-1668 2013-06-19
1346549383 Ohiohealth Corporation Orthopaedic Surgery 340 E Town St Ste 7-600, Columbus, OH 43215-4693 2011-03-16
1952600074 Ohiohealth Corporation Orthopaedic Surgery 5141 W Broad St Ste 150, Columbus, OH 43228-1984 2011-03-16
1528367562 Ohiohealth Corporation Orthopaedic Surgery 5131 Beacon Hill Rd Ste 160, Columbus, OH 43228-4441 2011-03-16
1598063620 Ohiohealth Corporation Orthopaedic Surgery 340 E Town St Ste 7-250, Columbus, OH 43215-4615 2011-03-15
1881927143 Hatheway Orthopaedics Orthopaedic Surgery 720 E. Broad St, Suite 100, Columbus, OH 43215 2009-09-17
1932336997 Tamara N Huff Orthopaedic Surgery 2300 Manchester Expy Ste 101a, Columbus, GA 31904-6802 2009-06-17
1699966044 Ryan M Geringer Orthopaedic Surgery 6262 Veterans Parkway, Columbus, GA 31909-3540 2007-08-09
1427254515 Matthew Edgeley Lovell Orthopaedic Surgery 940 North Marr, Suite C, Columbus, IN 47201 2007-06-25
1659405793 Kenny B Edwards Orthopaedic Surgery 670 Leigh Drive, Columbus, MS 39705 2007-03-14
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City COLUMBUS
Zip Code 47201

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Dataset Information

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.

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