DR. JONATHAN ERIC FENTON (NPI# 1689688632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689688632 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN ERIC FENTON |
| Credential | D.O. |
| Practice Address |
321 Main St Suite C Winooski VT 05404-1335 |
| Practice Telephone | 8028590000 |
| Practice Fax Number | 8028590005 |
| Mailing Telephone | 8028590000 |
| Mailing Fax Number | 8028590005 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2015-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 032-0000356 | VT | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
032-0000356 | VT | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
032-0000356 | VT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215479316 | Jonathan Fenton | Counselor | 847 Ne 19th Ave, Suite 100, Portland, OR 97232-2684 | 2016-11-07 |
| Street Address |
321 MAIN ST SUITE C |
| City | WINOOSKI |
| State | VT |
| Zip Code | 05404-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600921 | Allison Pratt | Pharmacist | 321 Main St, Winooski, VT 05404-1380 | 2019-10-17 |
| 1104339092 | Michael S Skaar Jr. | Pharmacist | 321 Main St, Winooski, VT 05404-1380 | 2017-11-14 |
| 1306365432 | Chelsea Dawn Leblanc | Pharmacist | 321 Main St, Winooski, VT 05404-1380 | 2017-09-09 |
| 1376066944 | Walgreen Co | Pharmacy | 321 Main St, Winooski, VT 05404-1380 | 2017-07-25 |
| 1174976161 | John Joy | Pharmacist | 321 Main St, Winooski, VT 05404-1380 | 2016-07-14 |
| 1083043301 | Stephen Gallagher | Physical Therapist | 321 Main St, Winooski, VT 05404-1380 | 2013-11-07 |
| 1851724173 | Lyndsi Branon | Pharmacist | 321 Main St, Winooski, VT 05404-1380 | 2013-08-11 |
| 1225471345 | Erin Graham | Physical Therapist | 321 Main St, Suite D, Winooski, VT 05404-1380 | 2013-04-08 |
| 1225312085 | Erica Jean Wible | Physical Therapist | 321 Main St, Suite D, Winooski, VT 05401-1380 | 2011-09-28 |
| 1508145137 | Matt M Alter | Pharmacist | 321 Main St, Winooski, VT 05404-1380 | 2011-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578079166 | Andrea Reynolds | Counselor | 108 Dion St, Winooski, VT 05404 | 2017-12-19 |
| 1861555922 | Eva Simon | Counselor | 20 West Canal St, Woolen Mill Offices, Winooski, VT 05404 | 2006-12-19 |
| 1326109620 | Mary E Kegelman | Nurse Practitioner | Champlain Mill, 20 Winooski Falls Way, Suite 400, Winooski, VT 05404 | 2006-12-12 |
| 1164596730 | Anne Minor Knott | Family Medicine | 32b Malletts Bay Avenue, Winooski Family Health, Winooski, VT 05404 | 2006-11-17 |
| 1376596478 | Christine M. Staats | Family Medicine | 32 East Malletts Bay Ave., Winooski, VT 05404 | 2006-05-18 |
| 1700181856 | Ashley Rebecca Bercovici | Massage Therapist | 467 Main St, Winooski, VT 05404 | 2011-01-21 |
| 1861705766 | Kandi Poulin | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2010-07-20 |
| 1063583441 | Timberlane Physical Therapy Inc | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| 1437220811 | Lesli R Bell | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| 1114098449 | Candice S Brueck | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| Find all providers in zip 05404 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609190164 | Jonathan E. Fenton D.o., P.C. | Pain Medicine | 321 Main St, Suite C, Winooski, VT 05404-1380 | 2010-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346459153 | Vermont Interventional Spine Center | Pain Medicine | 356 Mountain View Dr, Colchester, VT 05446-5985 | 2007-05-21 |
Please comment or provide details below to improve the information on DR. JONATHAN ERIC 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.