DR. LAUREL A FEDOR M.D. NPI 1245442086

NPI Information

NPI: 1245442086
Provider Name: DR. LAUREL A FEDOR, M.D.
Classification: Hospitalist - 208M00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4401 HARRISON BLVD
OGDEN, UT
ZIP 84403
Phone: (801) 387-3382
Get Directions

DR. Laurel A Fedor, M.D. is a hospitalist in Ogden, UT. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. DR. Laurel A Fedor, M.D. NPI is 1245442086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403-195
Phone: (801) 387-3382
Fax: (801) 387-3259

The NPI 1245442086 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/4/2007 and was last updated on 5/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207R00000X	Internal Medicine	7812473-1205	UTAH	No
2	207R00000X	Internal Medicine	14794	NEW HAMPSHIRE	No
3	208M00000X	Hospitalist	7812473-1205	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00988893	OTHER	UTAH	MEDICARE RAILROAD
2	U000074929	MEDICARE PIN	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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