EDWARD P FEUTZ MD NPI 1558326793

NPI Information

  • NPI: 1558326793
  • Provider Name: EDWARD P FEUTZ, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 818 E BROADWAY
    SPARTA, IL
    ZIP 62288
  • Phone: (618) 443-2177

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NPI Details

Edward P Feutz, MD is a diagnostic radiology radiology in Sparta, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Edward P Feutz, MD NPI is 1558326793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

818 E BROADWAY
SPARTA, IL
ZIP 62288
Phone: (618) 443-2177
Fax: (618) 443-3035

The enumeration date for this NPI number is 4/19/2006 and was last updated on 7/20/2007.

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 Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyILLINOISYes

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
1L13880MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
23654662OTHERILLINOISBLUE CROSS BLUE SHIELD
3A13830MEDICARE UPIN
401720700481MEDICAIDILLINOIS
5141008OTHERHEALTHLINK

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: 3/30/2025

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