CHRIS WILLIAM FELLIN M.D. NPI 1831112408

NPI Information

NPI: 1831112408
Provider Name: CHRIS WILLIAM FELLIN, M.D.
Classification: Hospitalist - 208M00000X
Entity Type: Individual
Address:
549 FAIR ST
BLOOMSBURG, PA
ZIP 17815
Phone: (570) 387-2251
Get Directions

Chris William Fellin, M.D. is a hospitalist in Bloomsburg, PA. 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. Chris William Fellin, M.D. NPI is 1831112408. 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:

549 FAIR ST
BLOOMSBURG, PA
ZIP 17815-419
Phone: (570) 387-2251
Fax: (570) 387-2206

The enumeration date for this NPI number is 7/25/2006 and was last updated on 2/11/2021.

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	208M00000X	Hospitalist	MD039209E	PENNSYLVANIA	Yes
2	207R00000X	Internal Medicine	MD039209E	PENNSYLVANIA	No
3	208D00000X	General Practice	MD039209E	PENNSYLVANIA	No

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	11629520002	MEDICAID	PENNSYLVANIA
2	414586	OTHER	PENNSYLVANIA	KEYSTONE
3	232809429	OTHER	PENNSYLVANIA	TRICARE
4	414586	OTHER	PENNSYLVANIA	BLUE SHIELD
5	110238261	OTHER	PENNSYLVANIA	RAILROAD MEDICARE
6	118438711	OTHER	PENNSYLVANIA	DEPARTMENT OF LABOR
7	50000875	OTHER	PENNSYLVANIA	CAPITAL BLUE CROSS
8	214604G	OTHER	PENNSYLVANIA	GEISINGER
9	325055	OTHER	PENNSYLVANIA	HEALTH AMERICA

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: 5/5/2024

NPI Synchronization or Removal

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