THEODORE STEVENS FEELY (NPI# 1982756599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982756599 |
| Entity Type | Individual |
| Full Name | THEODORE STEVENS FEELY |
| Credential | MD |
| Practice Address |
817 Princeton Avenue Sw Professional Office Bldg II, Suite 206 Birmingham AL 35211 |
| Mailing Address |
73 West Lakeshore Drive Suite 200 Birmingham AL 35209 |
| Practice Telephone | 2052265900 |
| Practice Fax Number | 2052265937 |
| Mailing Telephone | 2052265900 |
| Mailing Fax Number | 2052265937 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2018-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 060832 | GA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 200500182 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
34508 | AL | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
060832 | GA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD.34508 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE - RAILROAD | P00649787 | 01 |
| GA | AMERIGROUP | 1241808 | 01 |
| GA | 196561329A | 05 | |
| GA | WELLCARE | N460702 | 01 |
| GA | BCBS - GA | 52260873 001 | 01 |
| Street Address |
817 PRINCETON AVENUE SW PROFESSIONAL OFFICE BLDG II, SUITE 206 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467434498 | Robert Scott Mccord | Surgery | 817 Princeton Avenue Sw, Suite 306, Birmingham, AL 35211 | 2005-11-16 |
| 1225109432 | Stephanie Amanda Hall | Nurse Practitioner | 817 Princeton Avenue Sw, Suite 210, Birmingham, AL 35211-1348 | 2006-11-10 |
| 1750333506 | Donald L Quinn | Internal Medicine | 817 Princeton Avenue Sw, Pob 2 Ste 206 Napc - Sharon Harris -, Birmingham, AL 35211-1348 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407192172 | Nephrology Medical Associates of Georgia, LLC | Internal Medicine | 3570 Grandview Pkwy Ste 2, Birmingham, AL 35243-2064 | 2012-12-27 |
| 1851649669 | Saad Mohammed Shariff | Internal Medicine | 1900 University Blvd, Tht 643, Birmingham, AL 35294 | 2012-08-28 |
| 1851690069 | Lifeline Vascular Birmingham, Inc | Internal Medicine | 201 London Pkwy, Suite 500, Birmingham, AL 35211-6304 | 2011-03-28 |
| 1154587897 | Mamatha Gandhi | Internal Medicine | 3570 Grandview Pkwy Ste 101, Birmingham, AL 35243-2065 | 2008-08-01 |
| 1902078405 | Azita Takeshian Md PC | Internal Medicine | 100 Pilot Medical Dr Ste 275, Birmingham, AL 35235-3475 | 2008-03-25 |
| 1457564601 | Roman A Shingarev | Internal Medicine | 61919th St S, Birmingham, AL 35249-0001 | 2007-05-07 |
| 1093896466 | Eastern Nephrology, PC | Internal Medicine | 1524 Huffman Road, Birmingham, AL 35215 | 2006-10-18 |
| 1356399950 | Roman R Brantley | Internal Medicine | 35 W Lakeshore Dr Ste 200, Birmingham, AL 35209-7250 | 2006-05-05 |
| 1992772677 | Bharat Sarathi Kapoor | Internal Medicine | 5313 Brookwood Blvd, Ste 310, Birmingham, AL 35209-6862 | 2006-03-02 |
| 1508245226 | John William Elliott | Internal Medicine | 840 Montclair Rd, Suite 317, Birmingham, AL 35213-1920 | 2015-05-27 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
Please comment or provide details below to improve the information on THEODORE STEVENS FEELY.
| 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.