BRADFORD W FENTON (NPI# 1891750568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891750568 |
| Entity Type | Individual |
| Full Name | BRADFORD W FENTON |
| Credential | M.D. |
| Practice Address |
9500 Independence Dr Ste 900 Anchorage AK 99507-4686 |
| Mailing Address |
9500 Independence Drive Suite 900 Anchorage AK 99507 |
| Practice Telephone | 9075221341 |
| Practice Fax Number | 9075221343 |
| Mailing Telephone | 9075221341 |
| Mailing Fax Number | 9075221343 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 102803 | AK | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 01076617A | IN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 35-086531 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2588043 | 05 | |
| OH | MEDICARE ID | 4164682 | 01 |
| OH | MEDICARE ID | 4164681 | 01 |
| AK | 1639861 | 05 | |
| OH | 732092 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 75 Arch St, Ste. 102, Akron, OH 443041429 | 3307620954 | 3302520115 |
| Street Address |
9500 INDEPENDENCE DR STE 900 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-4686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033603261 | Janelle Nakea | Registered Nurse | 9500 Independence Dr Ste 900, Anchorage, AK 99507-4686 | 2018-06-20 |
| 1609380385 | Natasha Renae Sherrill | Nurse Practitioner | 9500 Independence Dr Ste 900, Anchorage, AK 99507 | 2017-11-16 |
| 1629418215 | Kathryn Alexander Ryan | Family Medicine | 9500 Independence Dr Ste 900, Anchorage, AK 99507-4686 | 2013-06-27 |
| 1255693578 | Kristin L Eastman | Dermatology | 9500 Independence Dr Ste 900, Anchorage, AK 99507-4686 | 2012-06-12 |
| 1225350689 | Sarah Elizabeth Bigelow | Physician Assistant | 9500 Independence Dr Ste 900, Anchorage, AK 99507-4686 | 2010-02-25 |
| 1497788921 | Cydney L Fenton | Pediatrics | 9500 Independence Dr Ste 900, Anchorage, AK 99507-4686 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
| 1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
| 1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
| 1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
| Find all providers in zip 99507 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659766582 | Jessica L Goldberger | Obstetrics & Gynecology | 2741 Debarr Rd Ste C-205, Anchorage, AK 99508-2961 | 2015-03-28 |
| 1760741151 | Bridget Rose Stralka | Obstetrics & Gynecology | 5595 Zeamer Ave, Anchorage, AK 99504 | 2012-05-07 |
| 1659647113 | John D. Erkmann Md, A Professional Corporation | Obstetrics & Gynecology | 1200 Airport Hts Dr, Suite 280, Anchorage, AK 99508-2965 | 2012-03-29 |
| 1760700884 | John D. Erkmann, M.d. | Obstetrics & Gynecology | 1200 Airport Heights Dr Ste 280, Anchorage, AK 99508-2971 | 2010-05-13 |
| 1376794156 | Jillian Marie Woodruff | Obstetrics & Gynecology | 3851 Piper St Ste U464, Anchorage, AK 99508-6905 | 2008-10-10 |
| 1588862684 | Patricia Jane Clark Capo | Obstetrics & Gynecology | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2007-07-10 |
| 1467674275 | Natalia Korneeva | Obstetrics & Gynecology | 3976 University Lake Dr, Anchorage, AK 99508-4644 | 2007-05-02 |
| 1922179480 | Wynd Counts | Obstetrics & Gynecology | 2741 Debarr Rd Ste C205, Anchorage, AK 99508-2961 | 2006-11-13 |
| 1932292513 | Keisha Yema Nieto | Obstetrics & Gynecology | 5760 Yukon Charlie Loop, Anchorage, AK 99502 | 2006-10-02 |
| 1851497481 | Kenneth Morhain | Obstetrics & Gynecology | 3976 University Lake Dr Ste 30, Anchorage, AK 99508-4644 | 2006-09-14 |
| Find all providers in ANCHORAGE | ||||
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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.