Provider Demographics
NPI:1679519672
Name:FELTON, PATRICK (DPM)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:FELTON
Suffix:
Gender:
Credentials:DPM
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 3250
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22604-2450
Mailing Address - Country:US
Mailing Address - Phone:406-783-5885
Mailing Address - Fax:540-678-9025
Practice Address - Street 1:650 CEDAR CREEK GRADE STE 108
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6453
Practice Address - Country:US
Practice Address - Phone:540-667-3338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01460213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
U76952Medicare UPIN