Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35071113 | OH |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 35071113 | OH |
NPI | 1578556817 |
---|---|
Provider Name | Jonathan B Feibel |
First Address | Columbus, OH 43213-4441 |
Second Address | Columbus, OH 43213-4441 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 16/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000349497 | ANTHEM (01) | OH |
2205385 | (05) | OH |
2514292 | BCMH (01) | OH |
7653142 | AETNA (01) | OH |
H16328 | (02) | OH |