Mark Stephen Fedder in Maryville - Gastroenterology
Mark Stephen Fedder - NPI 1922009943
Mark Stephen Fedder is a Gastroenterology in Maryville, Illinois. Mark Stephen Fedder practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Mark Stephen Fedder is 1922009943. The last update date is 2020-12-29.
Mark Stephen Fedder's current location address is 6810 State Route 162, Maryville, Illinois. You can contact this provider via phone number 6182880346 and fax number 6182880349. The mailing address for Mark Stephen Fedder is 6810 State Route 162, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Stephen Fedder |
|---|---|
| Address | 6810 State Route 162, Maryville, Illinois |
| Phone Number | 6182880346 |
| Fax Number | 6182880349 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1922009943 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2020-12-29 |
Provider Mailing Address Detail
| Address | 6810 State Route 162 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620628501 |
| Phone Number | 6182880346 |
| Fax Number | 6182880349 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 036-067702 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
|
Post Comment/ Review Below
What is the unique identification code assigned to Mark Stephen Fedder by the Centers for Medicare & Medicaid Services?
The Mark Stephen Fedder has been issued the NPI (National Provider Identifier) 1922009943. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Stephen Fedder's facilities are geographically located?
The facilities of Mark Stephen Fedder are physically situated at the following location: 6810 State Route 162, Maryville, IL, 620628501.
What is Mark Stephen Fedder's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Stephen Fedder is Gastroenterology, and the taxonomy code that classifies this field of practice is 207Rg0100X.
On what date was the 1922009943 assigned to Mark Stephen Fedder?
The Mark Stephen Fedder was issued its 1922009943 on 2005-08-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mark Stephen Fedder most recently updated or revised?
The information pertaining to Mark Stephen Fedder, including its address, specialty, and other relevant details, was last updated or revised on 2020-12-29.