Provider Demographics
NPI:1720069032
Name:FEELEY, JAMES E (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:FEELEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:613 E BLOOMINGTON ST
Mailing Address - Street 2:STE 100
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2652
Mailing Address - Country:US
Mailing Address - Phone:319-339-3917
Mailing Address - Fax:319-358-2794
Practice Address - Street 1:613 E BLOOMINGTON ST
Practice Address - Street 2:STE 100
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2652
Practice Address - Country:US
Practice Address - Phone:319-339-3917
Practice Address - Fax:319-358-2794
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA24956207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1046466Medicaid
IA1046466Medicaid
A03018Medicare UPIN