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MARK FEDDER, MD, PC
NPI 1184806101
Internal Medicine - Gastroenterology in Maryville, IL

Active since November 30, 2007
6810 STATE ROUTE 162, SUITE 211, MARYVILLE, IL 62062(618) 288-0346(618) 288-0349 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Fedder, Md, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK FEDDER, MD, PC (NPI 1184806101) is a healthcare organization registered as a gastroenterology in Maryville, Illinois and active in the NPI registry since November 2007. The organization lists Mark Stephen Fedder, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1184806101
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMARK FEDDER, MD, PC
Location Address6810 STATE ROUTE 162, SUITE 211Maryville, IL 62062-8501
Mailing Address6810 State Route 162, Suite 211Maryville, IL 62062-8501 · (618) 288-0346 · Fax (618) 288-0349
Phone(618) 288-0346
Fax(618) 288-0349
Organization SubpartNo
Authorized OfficialMark Stephen FedderOwner/president · (618) 288-0346
Enumeration DateNovember 30, 2007
✔ NPI 1184806101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6810 STATE ROUTE 162, Maryville, IL 62062
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY
Surgery (Vascular Surgery)
6810 STATE ROUTE 162, SUITE 100
MARYVILLE, IL 62062
Madison County (618) 334-2425
DR. GABRIEL CARDENAS JR. D.P.M.
Podiatrist (Foot & Ankle Surgery)
6810 STATE ROUTE 162, SUITE 20
MARYVILLE, IL 62062
Madison County (618) 288-2835
MICHAEL PETRU CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
MICHAEL SOUTHWICK CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
JOSEPH HINES CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
DR. JAMES JOSEPH DALLA RIVA M.D.
Obstetrics & Gynecology
6810 STATE ROUTE 162, SUITE 301
MARYVILLE, IL 62062
Madison County (618) 288-5699
MARK SILVEY CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
FAIRVIEW HEIGHTS MEDICAL GROUP SC
Internal Medicine (Cardiovascular Disease)
6810 STATE ROUTE 162, SUITE 203
MARYVILLE, IL 62062
Madison County (618) 288-5076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Fedder, MD, PC's NPI number?

The NPI number for Mark Fedder, MD, PC is 1184806101. It was assigned to this organization in the NPPES registry on November 30, 2007.

Where is Mark Fedder, MD, PC located?

Mark Fedder, MD, PC is located at 6810 State Route 162 Suite 211, Maryville, IL 62062. The listed phone number is (618) 288-0346.

What is Mark Fedder, MD, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Mark Fedder, MD, PC was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.