DR. BRENDAN GERARD FENNESSY (NPI# 1851733075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851733075 |
| Entity Type | Individual |
| Full Name | DR. BRENDAN GERARD FENNESSY |
| Credential | MD |
| Practice Address |
43 Whiting Hill Rd Brewer ME 04412-1005 |
| Mailing Address |
885 Union St Ste 145 Bangor ME 04401-3083 |
| Practice Telephone | 2079735000 |
| Practice Fax Number | 2079735042 |
| Mailing Telephone | 2079739595 |
| Mailing Fax Number | 2079739595 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2014-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD20186 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
43 WHITING HILL RD |
| City | BREWER |
| State | ME |
| Zip Code | 04412-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649460031 | Jeffrey Michael Millett | Nurse Practitioner | 43 Whiting Hill Rd, Suite 300, Brewer, ME 04412-1005 | 2007-07-31 |
| 1720378870 | Jennifer Story | Physical Therapist | 43 Whiting Hill Rd, Brewer, ME 04412-1005 | 2011-04-11 |
| 1891084687 | Teri J Carr | Physical Therapist | 43 Whiting Hill Rd, Suite 300, Brewer, ME 04412-1005 | 2011-04-01 |
| 1780821140 | Norumbega Medical Specialists, Ltd | Clinic/Center | 43 Whiting Hill Rd, Brewer, ME 04412-1005 | 2009-01-07 |
| 1508023854 | Laurent J Beauregard | Medical Genetics, Ph.D. Medical Genetics | 43 Whiting Hill Rd, Cianchette Building, Suite 150, Brewer, ME 04412-1005 | 2008-05-22 |
| 1669657532 | Lalaine C Llanto | Family Medicine | 43 Whiting Hill Rd, Suite 300, Brewer, ME 04412-1005 | 2008-01-09 |
| 1427249499 | Marshall T. Hollinger | Nurse Practitioner | 43 Whiting Hill Rd, Brewer, ME 04412-1005 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1114346251 | Shane Griffith | Otolaryngology | 81 Medical Center Dr Ste 1150, Brunswick, ME 04011-2765 | 2014-04-15 |
| 1689930901 | Christopher F Manning | Otolaryngology | 88 Talbot Ave, Rockland, ME 04841-2934 | 2012-04-11 |
| 1013209931 | Angela Cheng-hung Tsai | Otolaryngology | 885 Union St Ste 145, Bangor, ME 04401-3073 | 2011-05-11 |
| 1265764484 | El-silimy Md LLC | Otolaryngology | 73 Sweden St, Caribou, ME 04736-2101 | 2010-02-12 |
| 1992877013 | Osama Ea El Silimy | Otolaryngology | 73 Sweden Street, Caribou, ME 04736 | 2006-11-14 |
| 1023105020 | Charles R Gasser | Otolaryngology | 12 High St Ste 102, Lewiston, ME 04240-7634 | 2006-10-10 |
| 1992805253 | Peter D O'connor | Otolaryngology | 331 Maine St Ste 4, Brunswick, ME 04011-3359 | 2006-09-25 |
| 1043310931 | Charles F Kava | Otolaryngology | 68 Ben Paul Ln, Rockport, ME 04856-4452 | 2006-09-22 |
| 1811094220 | William Raymond Chasse | Otolaryngology | 325 B Kennedy Memorial Drive, Waterville, ME 04901 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
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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.