DUANE LEE FENTON (NPI# 1205979689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205979689 |
| Entity Type | Individual |
| Full Name | DUANE LEE FENTON |
| Credential | PA-C |
| Practice Address |
2373 G Rd Ste 100 Grand Junction CO 81505 |
| Mailing Address |
Po Box 2608 Grand Junction CO 81502-2608 |
| Practice Telephone | 9702450484 |
| Practice Fax Number | 9702411681 |
| Mailing Telephone | 9702632619 |
| Mailing Fax Number | 9702632691 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2019-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PAL-2390 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RR MEDICARE PIN | P00638187 | 01 |
| CO | 85629375 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1830 Franklin St, Suite 450, Denver, CO 802181128 | 3033211333 | 3033210620 |
| 320 Alpenglow Ln, Livingston, MT 590478506 | 4062223541 | 4068236434 |
| Street Address |
2373 G RD STE 100 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972680585 | Jennie H Windscheffel | Physician Assistant | 2373 G Rd Ste 100, Grand Junction, CO 81505-1003 | 2006-11-01 |
| 1487292868 | Grand Valley Orthopedics | Family Medicine | 2373 G Rd Ste 100, Grand Junction, CO 81505-1003 | 2019-12-16 |
| 1861977910 | Kevin N Do | Physical Therapist | 2373 G Rd Ste 100, Grand Junction, CO 81505-1003 | 2018-09-25 |
| 1619470762 | Grand Valley Orthopedics | Orthopaedic Surgery | 2373 G Rd Ste 100, Grand Junction, CO 81505-1003 | 2018-03-15 |
| 1003319492 | Grand Valley Orthopedics | Specialist | 2373 G Rd Ste 100, Grand Junction, CO 81505-1003 | 2018-03-13 |
| 1518380872 | Joshua David Thun | Podiatrist | 2373 G Rd Ste 100, Grand Junction, CO 81505-1003 | 2014-01-22 |
| 1508006271 | Kathryn M Morlan | Physician Assistant | 2373 G Rd Ste 100, Grand Junction, CO 81505-1003 | 2009-02-20 |
| 1053527697 | Juliann Hanson | Occupational Therapist | 2373 G Rd Ste 100, Grand Junction, CO 81505-1003 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
| 1780107896 | Robert Rogers | Registered Nurse | 2351 G Rd., Community Hospital, Grand Junction, CO 81505 | 2017-07-20 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1356894059 | Amel Med, LLC | Anesthesiology | 2460 Patterson Rd #4, Grand Junction, CO 81505 | 2016-07-28 |
| 1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
| 1689003766 | Canyon View Asc, LLC | Clinic/Center | 2373 G Road, Suite 180, Grand Junction, CO 81505 | 2013-11-08 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1295026409 | Nuclear Care Partners, LLC | Case Management | 631 24 1/2 Road, Suite C, Grand Junction, CO 81505 | 2011-04-21 |
| 1265734883 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 630 24 Rd, Grand Junction, CO 81505 | 2010-12-02 |
| Find all providers in zip 81505 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086229 | Cassandra Corson | Physician Assistant | 212 Gunnison Ave Apt B, Grand Junction, CO 81501-2312 | 2020-09-01 |
| 1134772429 | Rosemary Alnora Rushton | Physician Assistant | 750 Wellington Ave # 3a, Grand Junction, CO 81501-6132 | 2019-07-17 |
| 1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
| 1306365952 | Lauren Leanne Kaiser | Physician Assistant | 563 1/2 Garden Cress Ct, Grand Junction, CO 81501-6916 | 2017-09-14 |
| 1447598552 | Robert S Citkovic | Physician Assistant | 2021 North 12th Street, Grand Junction, CO 81501 | 2013-01-24 |
| 1467636787 | Renae Tabin | Physician Assistant | 569 32 Rd Ste 12, Grand Junction, CO 81504 | 2007-12-21 |
| 1396898169 | John E Miller | Physician Assistant | 2454 Hwy 6 and 50 Ste 104, Grand Junction, CO 81505-1117 | 2007-01-18 |
| 1972680585 | Jennie H Windscheffel | Physician Assistant | 2373 G Rd Ste 100, Grand Junction, CO 81505-1003 | 2006-11-01 |
| 1932164381 | Richard A Candelaria | Physician Assistant | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2006-04-19 |
| 1982688057 | Bryan D Copas | Physician Assistant | 569 32 Rd, Unit 12, Mountain Peaks Urgent Care, Grand Junction, CO 81504-6095 | 2005-12-02 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
Please comment or provide details below to improve the information on DUANE LEE FENTON.
| 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.