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

Viktor Vasilyevich Fedorov, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861855140

Viktor Vasilyevich Fedorov, DO is a General Surgery in Jacksonville, North Carolina. Qualified in 2016, 10 years ago. Practices with Onslow Ambulatory Services Inc, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
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.

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Practice location Address checks out

255 Memorial Dr
Jacksonville, NC 28546-6333
Phone: (910) 353-7848
Show map & directions

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

Additional practice locations (1)

  • 317 Western Blvd, Jacksonville, NC 28546-6379 — (910) 577-2345

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2024-01637 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 218430 (NC)

Record details

NPI number1861855140
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 3, 2016
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024
Mailing address255 Memorial Dr, Jacksonville, NC 28546-6333

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Onslow Ambulatory Services Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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