Basic Information
| Provider Information | |||||||||
| NPI: | 1861472896 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FEORE | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | COLMAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1212 KOGER CENTER BLVD | ||||||||
| Address2: | |||||||||
| City: | NORTH CHESTERFIELD | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232354778 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8048972100 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1212 KOGER CENTER BLVD | ||||||||
| Address2: | |||||||||
| City: | NORTH CHESTERFIELD | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232354778 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8048972100 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/17/2006 | ||||||||
| LastUpdateDate: | 03/30/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 03/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 0101028045 | VA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 226119 | 01 | ANTHEM | OTHER | 56621 | 01 | OPTIMA HEALTH | OTHER | 6200753 | 01 | VA PREMIER | OTHER | 11936 | 01 | CARENET | OTHER | 94525 | 01 | SOUTHERN HEALTH | OTHER | 541941044002 | 01 | TRICARE | OTHER | 56621 | 01 | SENTARA | OTHER | 328075 | 01 | MAMSI | OTHER | 0000102405101 | 01 | UNITED | OTHER | 0861435 | 01 | AETNA US HEALTH | OTHER | 1059772 | 01 | CIGNA | OTHER |