JAMES ASHLEY FENNELL II (NPI# 1912905035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912905035 |
| Entity Type | Individual |
| Full Name | JAMES ASHLEY FENNELL II |
| Credential | M.D. |
| Practice Address |
2084 N 1700 W Suite A Layton UT 84041 |
| Mailing Address |
2086 N 1700 W Suite C Layton UT 84041 |
| Practice Telephone | 8017738644 |
| Practice Fax Number | 8017739828 |
| Mailing Telephone | 8017738644 |
| Mailing Fax Number | 8019271591 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2012-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 186237-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053491647 | James Richard Fennell | Pharmacist | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2006-10-17 |
| 1558389064 | James Walter Fennell | Dentist | 5451 Montgomery Rd, Cincinnati, OH 45212-1708 | 2006-07-17 |
| Street Address |
2084 N 1700 W SUITE A |
| City | LAYTON |
| State | UT |
| Zip Code | 84041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530156 | Brad Pace | General Practice | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2005-07-07 |
| 1477090108 | American Current Care Pa | Clinic/Center | 2084 N 1700 W, Suite D, Layton, UT 84041-1100 | 2017-01-19 |
| 1811432230 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 2084 N 1700 W, Suite D, Layton, UT 84041-1100 | 2016-12-20 |
| 1194106625 | Colton Lee Ragsdale | Pediatrics | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2015-06-10 |
| 1821286923 | Emily Ostarcevic | Nurse Practitioner | 2084 N 1700 W, Suite A, Layton, UT 84041-1100 | 2007-10-15 |
| 1619160041 | Kirk Russell Overdiek | Nurse Practitioner | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2007-08-20 |
| 1902967219 | Roderick D Maxwell | Physician Assistant | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2006-12-12 |
| 1750346599 | Priscilla Aye Chen | Pediatrics | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2006-04-17 |
| 1225098510 | Rocksan Moss | Physician Assistant | 2084 N 1700 W, Suite A, Layton, UT 84041-1100 | 2006-03-23 |
| 1043281918 | Robert J Anderson | Registered Nurse | 2084 N 1700 W, Layton, UT 84041-1100 | 2006-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760822423 | Michael Bradley Burton | Pediatrics | 934 S Main St Ste 8, Layton, UT 84041-7136 | 2013-06-26 |
| 1629130133 | Robert Shawn Hoki | Pediatrics | 2086 N 1700 W, Suite C, Layton, UT 84041-1164 | 2006-12-14 |
| 1235211004 | Mari Suto Luce | Pediatrics | 2244 E 3500 N, Layton, UT 84040-2471 | 2006-10-20 |
| 1669424099 | Kelson Physician Partners of Layton, Inc. | Pediatrics | 2086 N. 1700 W (robbins Drive), Suite C, Layton, UT 84041-1118 | 2006-05-16 |
| 1750389805 | Laurent Christophe Sigg | Pediatrics | 934 S Main Street, Layton, UT 84041 | 2005-07-12 |
| 1306367867 | Ihc Health Services Inc | Pediatrics | 201 W Layton Parkway, Layton, UT 84041 | 2017-07-05 |
| 1194106625 | Colton Lee Ragsdale | Pediatrics | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2015-06-10 |
| 1053679027 | Joshua Mcbride | Pediatrics | 2075 University Park Blvd, Layton, UT 84041-1611 | 2012-04-27 |
| 1881989143 | Bryan Ellertson | Pediatrics | 2121 N 1700 W, Layton, UT 84041-8803 | 2011-06-15 |
| 1861699324 | Stephanie I Merrill | Pediatrics | 2075 University Park Blvd, Layton, UT 84041-1611 | 2007-06-28 |
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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.