Dr. Raymond T Fedderly
MD | Pediatric Cardiology | Male
Dr. Raymond T Fedderly, MD is a Milwaukee, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Dr. Raymond T Fedderly is
9000 W Wisconsin Ave, Pediatric Cardiology, Milwaukee, Wisconsin - 53226-4874. He can be contacted on phone at
414-266-2380 and fax number 414-266-2294.
Dr. Raymond T Fedderly is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Raymond T Fedderly is
1790736619 which was assigned by NPPES on 15 May, 2006 and it was last updated on 19 Dec, 2012.
Dr. Raymond T Fedderly license number is
32186 for Pediatrics Pediatric Cardiology (2080P0202X) in Wisconsin.
Dr. Raymond T Fedderly provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Raymond T Fedderly basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Dr. Raymond T Fedderly |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Raymond T Fedderly address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9000 W Wisconsin Ave, Pediatric Cardiology
Milwaukee, WI, 53226-4874
United States |
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| Phone Number : | 414-266-2380 |
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| Fax Number : | 414-266-2294 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790736619 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 May, 2006 |
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| Last Updated On : | 19 Dec, 2012 |
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Medicare Participation:
Dr. Raymond T Fedderly participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7113960956 |
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| Medicare Enrollment ID : | I20050602001119 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Wisconsin School Of Medicine |
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| Graduation Year : | 1988 |
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| Accepts Medicare? | Yes. Dr. Raymond T Fedderly accepts medicare insurance. |
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Group Practice Association:
Dr. Raymond T Fedderly is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Raymond T Fedderly is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| The Medical College Of Wisconsin Inc | 2668384371 | 1769 | 8701 W Watertown Plank Rd
Milwaukee, WI - 532263548
Ph: 4144564100 | Yes |
| The Medical College Of Wisconsin Inc | 2668384371 | 1769 | 9000 W Wisconsin Avnue
Milwaukee, WI - 532264874 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Raymond T Fedderly are as mentioned. Primary taxonomy code for Dr. Raymond T Fedderly, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 32186 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Raymond T Fedderly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 002000115T | Other | | HUMANA |
| 1790736619 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9000 W Wisconsin Ave, Pediatric Cardiology
Milwaukee, WI, 53226-4874
United States |
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| Phone Number : | 414-266-2380 |
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| Fax Number : | 414-266-2294 |
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Business Location:
Patients can refer following map for directions to
Dr. Raymond T Fedderly practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.