Provider Demographics
NPI:1528073343
Name:FELIBERTI, ERIC C (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:C
Last Name:FELIBERTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-8950
Mailing Address - Fax:757-446-5197
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 610
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-8950
Practice Address - Fax:757-446-5197
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101240094208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1659385292Medicaid
VAPAROtherMULTIPLAN
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherCORVEL/CORCARE
NC05967OtherBC/BS
VA2156220OtherUHC/MAMSI
VAPAROtherAETNA
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherUSA MANAGED CARE
VA10011488OtherSENTARA OPTIMA
VA208455OtherANTHEM
VAPAROtherCIGNA
VA-019OtherTRICARE/CHAMPUS
NC5905967Medicaid
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherCORVEL/CORCARE
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherVIRGINIA HEALTH NETWORK