DR. WILLIAM ZACHARY FENN (NPI# 1184897415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184897415 |
Entity Type | Individual |
Full Name | DR. WILLIAM ZACHARY FENN |
Credential | D.P.M. |
Practice Address |
1788 Republic Rd Suite 300 Virginia Beach VA 23454-4552 |
Mailing Address |
24-28 Newton Street Southborough MA 01772-1215 |
Practice Telephone | 7574810898 |
Practice Fax Number | 7574812563 |
Mailing Telephone | 5088797904 |
Enumeration Date | 2008-04-08 |
Last Update Date | 2020-03-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | 0103301006 | VA | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2336 | MA | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568980118 | William Henry Fenn | Dentist | Interlakes Family Dental Center, PC, 60 Whittier Hwy, Unit 1, Moultonborough, NH 03254 | 2017-09-05 |
1295846087 | William Hartley Fenn | Physician Assistant | 1903 W Michigan Ave, Wmu - Mail Stop 5254, Kalamazoo, MI 49008-5200 | 2006-08-31 |
Street Address |
1788 REPUBLIC RD SUITE 300 |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23454-4552 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225011935 | Robert Charles Beba | Physical Therapist | 1788 Republic Rd, Suite 100, Virginia Beach, VA 23454-4552 | 2005-11-28 |
1437555083 | Walko Enterprise Incorporated | Physical Medicine & Rehabilitation | 1788 Republic Rd, Virginia Beach, VA 23454 | 2014-11-10 |
1902109895 | Bayview Physician Services | Durable Medical Equipment & Medical Supplies | 1788 Republic Rd, Suite 300, Virginia Beach, VA 23454-4552 | 2010-12-15 |
1033441936 | Mini-medic | Family Medicine | 1788 Republic Rd, Suite 400, Virginia Beach, VA 23454-4552 | 2010-02-03 |
1720205172 | The Doctor's In | Emergency Medicine | 1788 Republic Rd, Suite 400, Virginia Beach, VA 23454-4552 | 2007-04-19 |
1851329676 | Kathryn G Bragg | Physical Therapist | 1788 Republic Rd, Ste 200, Virginia Beach, VA 23454-4552 | 2006-06-29 |
1497783153 | Robert Michael Spear | Physical Medicine & Rehabilitation | 1788 Republic Rd, Ste 200, Virginia Beach, VA 23454-4552 | 2006-06-29 |
1346276268 | Dawn Michelle Pfeiffer | Podiatrist | 1788 Republic Rd, Suite 300, Virginia Beach, VA 23454-4552 | 2006-06-23 |
1851337794 | Cynthia C Su | Physical Medicine & Rehabilitation | 1788 Republic Rd, Ste 200, Virginia Beach, VA 23454-4552 | 2006-06-21 |
1356386841 | Atlantic Foot and Ankle Center | Podiatrist | 1788 Republic Rd, Suite 300, Virginia Beach, VA 23454-4552 | 2006-06-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
Find all providers in zip 23454 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
1295006575 | Bradley Adam Levitt | Podiatrist | 1788 Republic Rd Ste 300, Virginia Beach, VA 23454-4552 | 2012-01-19 |
1649248071 | John P D'amelio | Podiatrist | 3720 Holland Rd, Ste 100, Virginia Beach, VA 23452-2859 | 2006-03-10 |
1700854130 | Robert D Tupper | Podiatrist | 4224 Holland Rd, Suite # 106, Virginia Beach, VA 23452-1900 | 2006-03-10 |
1669445300 | Robert W Sullivan | Podiatrist | 1700 Pleasure House Rd, Suite 101-102, Virginia Beach, VA 23455-4053 | 2006-02-13 |
1235123019 | Michael Holtz | Podiatrist | 5253 Providence Rd, Suite 100, Virginia Beach, VA 23464-4201 | 2005-09-07 |
1295729663 | Steven M Taubman | Podiatrist | 996 First Colonial Rd, Virginia Beach, VA 23454-3175 | 2005-08-31 |
1003809112 | Jay I Tischler | Podiatrist | 1080 First Colonial Rd, Ste 400, Virginia Beach, VA 23454-2406 | 2005-08-24 |
1447259031 | David J Cho | Podiatrist | 1232 Perimeter Pkwy, Suite 102, Virginia Beach, VA 23454-5689 | 2005-07-18 |
1366885485 | Scott Collins Carrington | Podiatrist | 1788 Republic Rd Ste 300, Virginia Beach, VA 23454-4552 | 2013-04-08 |
Find all providers in VIRGINIA BEACH |
City | VIRGINIA BEACH |
Zip Code | 23454 |
Please comment or provide details below to improve the information on DR. WILLIAM ZACHARY FENN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.