Basic Information
| Provider Information | |||||||||
| NPI: | 1427462969 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FEIST | ||||||||
| FirstName: | JONATHAN | ||||||||
| MiddleName: | T | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 236 | ||||||||
| Address2: | |||||||||
| City: | BATESVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 470060236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8129345252 | ||||||||
| FaxNumber: | 8129320721 | ||||||||
| Practice Location | |||||||||
| Address1: | 26 SIX PINE RANCH RD | ||||||||
| Address2: | |||||||||
| City: | BATESVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 470061399 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8129345252 | ||||||||
| FaxNumber: | 8129320721 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2014 | ||||||||
| LastUpdateDate: | 03/25/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/25/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 01078986A | IN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.