MR. GARY ROSS FENNEL (NPI# 1295889418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295889418 |
| Entity Type | Individual |
| Full Name | MR. GARY ROSS FENNEL |
| Credential | PA-C |
| Practice Address |
7600 Carroll Ave Washington Adventist Hospital Takoma Park MD 20912-6367 |
| Mailing Address |
15714 Thistlebridge Dr Rockville MD 20853-3226 |
| Practice Telephone | 3018917600 |
| Practice Fax Number | 3018916313 |
| Mailing Telephone | 3019245388 |
| Mailing Fax Number | 3018916313 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C0000622 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7600 CARROLL AVE WASHINGTON ADVENTIST HOSPITAL |
| City | TAKOMA PARK |
| State | MD |
| Zip Code | 20912-6367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144224593 | Alfred Munzer | Internal Medicine | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2005-06-13 |
| 1730712845 | Nelle Hannah Ouellette | Occupational Therapist | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2020-02-17 |
| 1821643396 | Saba T Ucbamichael | Nurse Practitioner | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2019-08-01 |
| 1417509696 | Adventist Healthcare Urgent Care Centers, Inc | Clinic/Center | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2019-07-09 |
| 1497312474 | Qi Hong | Specialist/Technologist, Other | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2019-05-24 |
| 1568928190 | Julie Marie Leonard | Physical Therapist | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2019-02-19 |
| 1760955264 | Gladys Neh Alambi | Nurse Practitioner | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2019-01-07 |
| 1013497700 | Adventist Physician Services, Inc. | Psychiatry & Neurology | 7600 Carroll Ave, Takoma Park, MD 20912 | 2018-08-21 |
| 1649750332 | Adventist Physician Services, Inc. | Psychiatry & Neurology | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2018-08-21 |
| 1619468949 | Ixchel Victoria Montenegro | Physician Assistant | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2018-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898426 | Takoma Park Gynecology LLC | Advanced Practice Midwife | 7050 Carroll, Suite 201, Takoma Park, MD 20912 | 2020-10-15 |
| 1669094470 | Alba Oliver-cephas | Counselor | 7610 Carroll Ave Suite 200, Takoma Park, MD 20912 | 2020-05-14 |
| 1689173650 | Fate Geleto | Home Health Aide | 6733 Newhampshire Ave#410, Takoma Park, MD 20912 | 2018-02-06 |
| 1437658549 | Hanna I-hwa Schmittat | Acupuncturist | 7120 Carroll Ave, Takoma Park, MD 20912 | 2018-02-04 |
| 1467960443 | Elaborate Home Health Care Services | Clinic/Center | 6480 New Hampshire Ave Ste 301b, Takoma Park, MD 20912 | 2018-01-12 |
| 1093223174 | Walinjom Feh Nanette | Home Health Aide | 664 Fairview Ave, Takoma Park, MD 20912 | 2018-01-11 |
| 1902312978 | Phucho Philomina | Home Health | 6731 New Hampshire Avenue, 601, Takoma Park, MD 20912 | 2017-12-28 |
| 1154848075 | Madge Richards Quesenberry | Counselor | 7600 Flower Avenue, Washington Adventist University Counseling Center, Takoma Park, MD 20912 | 2017-08-23 |
| 1083061386 | Arlette Ankouong | Nurse's Aide | 766 Fairview Ave, Apt 2, Takoma Park, MD 20912 | 2016-05-17 |
| 1275988487 | Betrand Anyam | Home Health Aide | 777 Maple Avenue, Apt 1101, Takoma Park, MD 20912 | 2016-04-26 |
| Find all providers in zip 20912 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174929863 | Brian Deori | Physician Assistant | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2014-11-07 |
| 1184763591 | Daniel Shiferaw | Physician Assistant | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2007-02-05 |
| 1902942634 | Weldemariam Mezghebe | Physician Assistant | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2007-01-29 |
| 1154477008 | Julia Berman Grossman | Physician Assistant | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2007-01-25 |
| 1003962911 | Jason Robert Barfuss | Physician Assistant | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2007-01-25 |
| 1730235763 | Sudhir Sharad Pandit | Physician Assistant | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475803 | Kendy Karenys Lopez | Physician Assistant | 18324 Streamside Dr Apt 204, Gaithersburg, MD 20879-5228 | 2019-12-30 |
| 1528619640 | Cindy Pham | Physician Assistant | 7515 Oyster Bay Way, Gaithersburg, MD 20886-5905 | 2019-09-20 |
| 1508336637 | Victor Orlando Hernandez | Physician Assistant | 125 Potomac Psge Unit 200, Oxon Hill, MD 20745-1580 | 2018-12-02 |
| 1164905824 | Surgical Focus LLC | Physician Assistant | 5550 Friendship Blvd Ste 100, Chevy Chase, MD 20815-7294 | 2018-09-10 |
| 1912497173 | Gem Y Walker Lawson | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2018-05-14 |
| 1306341540 | Sunil Harris | Physician Assistant | 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 | 2018-03-29 |
| 1134639263 | Liz Ramirez | Physician Assistant | 1101 E 33rd St, Baltimore, MD 21218-3637 | 2017-10-03 |
| 1093231755 | Daniel Gentry | Physician Assistant | 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 | 2017-08-15 |
| 1467981431 | Lana E Grubb | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2017-06-05 |
| 1174051353 | Nam Anh Pham | Physician Assistant | 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 | 2017-05-31 |
| Find all providers with the same taxonomy | ||||
| City | TAKOMA PARK |
| Zip Code | 20912 |
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| 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.