MICHAEL STEPHEN FEDDER (NPI# 1568475994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568475994 |
| Entity Type | Individual |
| Full Name | MICHAEL STEPHEN FEDDER |
| Credential | M.D. |
| Practice Address |
718 Smyth Rd Manchester NH 03104-7004 |
| Mailing Address |
1465 Hooksett Rd., # 435 Hooksett NH 03106 |
| Practice Telephone | 6036244366 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
11397 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
718 SMYTH RD |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961887 | Francis J Piccione | Specialist | 718 Smyth Rd, Va Medical Center 111/112, Manchester, NH 03104-7007 | 2005-06-02 |
| 1174136964 | Julio Dutra | Nurse Practitioner | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-08-31 |
| 1245840776 | Lindsay Ann Hyde | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-08-10 |
| 1316566821 | Calvin Smith | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-04-14 |
| 1770133068 | Luzviminda A Bubar | Technician | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-09-18 |
| 1699324590 | Neil Adrian Andogan Banoey | Pharmacist | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-09-04 |
| 1912553058 | Carolee Jessica Tustin | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-14 |
| 1740835362 | Clara Louise Carr | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-09 |
| 1023663655 | Rebekah Johnson | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-09 |
| 1306491204 | Kelly Bowers | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356879548 | New England Medicine and Counseling Associates, Pllc | Family Medicine | 120 Route 10 N, Grantham, NH 03753-3619 | 2017-06-01 |
| 1528329703 | Martin Lubin | Family Medicine | 21 Lyme Road, Hanover, NH 03755 | 2012-06-04 |
| 1922408608 | Sage Integrative Medicine Pllc | Family Medicine | 157 Portsmouth Ave, Unit 13, Stratham, NH 03885-2477 | 2014-08-29 |
| 1134403736 | Richard A Fox | Family Medicine | 22 Oriole Rd, Windham, NH 03087-1614 | 2011-10-01 |
| 1851589972 | Todd Jamieson Lyon | Family Medicine | 82 Palomino Ln Ste 703, Bedford, NH 03110-6448 | 2007-10-15 |
| 1558586891 | Roy Frampton | Family Medicine | 166 Kinsley St, Suite 203, Nashua, NH 03060-3676 | 2007-04-13 |
| 1245363761 | Adnan S Khan | Family Medicine | 590 Court St, Keene, NH 03431-1719 | 2007-03-13 |
| 1730190604 | Cindi Swift Croft | Family Medicine | 102 Pleasant St, Unit 2, Concord, NH 03301-3863 | 2006-08-10 |
| 1437169604 | Carey Rathbone Rodd | Family Medicine | 325 Daniel Webster Hwy, Boscawen, NH 03303-2410 | 2006-08-09 |
| 1285641134 | John Henry Spicer | Family Medicine | 580 Saint Johnsbury Rd, Littleton, NH 03561-3437 | 2006-08-02 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
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| 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.