Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 10320669-1205 | UT |
N | 207X00000X | Orthopaedic Surgeon | MD15421 | RI |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 10320669-1205 | UT |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 10320669-1205 | UT |
NPI | 1265725493 |
---|---|
Provider Name | Ross Feller |
First Address | Providence, RI 02901-1119 |
Second Address | Providence, RI 02905-3236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2011 |
Last Update Date | 19/09/2017 |