ADAM PAUL FENTON (NPI# 1497277537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497277537 |
| Entity Type | Individual |
| Full Name | ADAM PAUL FENTON |
| Credential | PA |
| Practice Address |
2211 Genesee St Ste 200 Utica NY 13501-5930 |
| Practice Telephone | (315) 733-7598 |
| Practice Fax Number | 3157337694 |
| Mailing Telephone | 3157337598 |
| Mailing Fax Number | 3157337694 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2018-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 020935 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
020935-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2211 GENESEE ST STE 200 |
| City | UTICA |
| State | NY |
| Zip Code | 13501-5930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839861 | Patrick C Keenan | Registered Nurse | 2211 Genesee St Ste 200, Utica, NY 13501-5930 | 2019-06-11 |
| 1043784895 | Saba Ilyas | Physician Assistant | 2211 Genesee St Ste 200, Utica, NY 13501 | 2019-01-15 |
| 1992211411 | Erin Wellenstein Smith | Physician Assistant | 2211 Genesee St Ste 200, Utica, NY 13501-5930 | 2017-12-20 |
| 1043737141 | Barbara Jean Drake | Nurse Practitioner | 2211 Genesee St Ste 200, Utica, NY 13501-5930 | 2017-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700349248 | Maria Kuehl | Student in an Organized Health Care Education/Training Program | 120 Hobart Street, Residency Program, Utica, NY 13501 | 2019-04-11 |
| 1497237622 | Bobs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 430 Bleecker St, Utica, NY 13501 | 2018-09-04 |
| 1528565421 | Michele Della Gala | Social Worker | 1427 Genesee Street, Utica, NY 13501 | 2018-04-09 |
| 1295274884 | Sheila Denita Boyd | Licensed Practical Nurse | 505 Mary Street, Utica, NY 13501 | 2017-02-16 |
| 1770034993 | Curry Mcmahon | Massage Therapist | 2707 Genesee St, Utica, NY 13501 | 2016-10-24 |
| 1689123614 | Angelica Pascone Martin | Physician Assistant | 2215 Genesee St., Utica, NY 13501 | 2016-10-03 |
| 1942673942 | Krista Lee Klopotek | Registered Nurse | 1151 Albany Street, Albany Elementary School, Utica, NY 13501 | 2015-11-12 |
| 1841618089 | Katherine Macaulay Lucey | Social Worker | 293 Genesee Street, The Neighborhood Center, Inc. Human Resources, Utica, NY 13501 | 2014-04-04 |
| 1578809067 | Laurie A Baker | Social Worker | 2307 Genesee St, Utica, NY 13501 | 2013-01-02 |
| 1104170505 | Amanda Knoeller | Social Worker | 683 Mary Street, Utica, NY 13501 | 2012-11-07 |
| Find all providers in zip 13501 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093772303 | Barbara Agans-sweeney | Physician Assistant | 1656 Champion Ave, Faxton St Lukes Healthcare, Utica, NY 13502-4830 | 2006-04-28 |
| 1366910978 | Nicole Wilkinson | Physician Assistant | 1676 Sunset Ave, Utica, NY 13502-5416 | 2018-11-13 |
| 1992211411 | Erin Wellenstein Smith | Physician Assistant | 2211 Genesee St Ste 200, Utica, NY 13501-5930 | 2017-12-20 |
| 1578072096 | Morgan A Maitland | Physician Assistant | 1256 Culver Ave, Utica, NY 13501-4253 | 2017-09-27 |
| 1518339951 | Benjamin Johnson | Physician Assistant | 2211 Genesee St, Utica, NY 13501-5930 | 2015-10-26 |
| 1083083901 | Christina Stanton Stewart | Physician Assistant | 1651 Oneida St, Utica, NY 13501-4866 | 2015-09-22 |
| 1275912370 | Rachel Ann Bossi | Physician Assistant | 1656 Champlin Ave, Utica, NY 13502-4830 | 2015-05-21 |
| 1194167601 | Sarah Dixon | Physician Assistant | 1676 Sunset Ave, Utica, NY 13502-5416 | 2013-07-25 |
| 1881944676 | Nedzada Seho | Physician Assistant | 2209 Genesee St, Utica, NY 13501-5930 | 2012-09-19 |
| 1710137765 | Annemarie Trevisani Labella | Physician Assistant | 116 Business Park Drive, 1st Floor, Utica, NY 13502-6313 | 2008-09-26 |
| Find all providers in UTICA | ||||
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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.