Individual ProviderJohn Patrick FeolaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address6400 Arlington Blvd Ste 940, Falls Church, VA 22042-2336(703) 241-1010PECOS EnrollmentBased on the most recent information from CMS, provider John Patrick Feola does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1467474882Provider TypeIndividualFull NameFeola, John PatrickTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date7/24/2006Last Updated11/23/2011Contact InformationPractice LocationPractice Address6400 Arlington Blvd Ste 940, Falls Church, VA 22042-2336Phone(703) 241-1010FaxUnlisted FaxMailing LocationMailing Address6400 Arlington Blvd Ste 940, Falls Church, VA 22042-2336Phone(703) 241-1010FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101050870VirginiaProvider IdentifiersIDDescriptionIssuerID010044782DescriptionMedicaidIssuerUnlistedVirginia