Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ronald Jc Fejeran, DO

Individual provider Pediatrics Physician · NPI 1073518288

Dr. Ronald Jc Fejeran, DO is an Internal Medicine in Tazewell, Tennessee. Qualified in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
34
Licensed in
TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1442 N Broad St Ste 7
Tazewell, TN 37879-4361
Phone: (423) 626-1931
Fax: (423) 626-1948
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D0999 (TN)
Pediatrics Physician Taxonomy 208000000X · Licence 999 (TN)

Record details

NPI number1073518288
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 15, 2005
Last updated in NPPESJanuary 7, 2020
Certification dateJanuary 7, 2020
Mailing addressPo Box 959, Attn: Credentialing, New Tazewell, TN 37824-0959

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesEMERGENCY MEDICINE, FAMILY PRACTICE, OSTEOPATHIC MANIPULATIVE MEDICINE, PEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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