Provider Demographics
NPI:1861472896
Name:FEORE, JOHN COLMAN (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:COLMAN
Last Name:FEORE
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 1:1212 KOGER CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4778
Mailing Address - Country:US
Mailing Address - Phone:804-897-2100
Mailing Address - Fax:
Practice Address - Street 1:1212 KOGER CENTER BLVD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4778
Practice Address - Country:US
Practice Address - Phone:804-897-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101028045207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
226119OtherANTHEM
56621OtherOPTIMA HEALTH
6200753OtherVA PREMIER
11936OtherCARENET
94525OtherSOUTHERN HEALTH
541941044002OtherTRICARE
56621OtherSENTARA
328075OtherMAMSI
0000102405101OtherUNITED
0861435OtherAETNA US HEALTH
1059772OtherCIGNA
328075OtherMAMSI