DR. JOHN E. FENN (NPI# 1932474053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932474053 |
| Entity Type | Individual |
| Full Name | DR. JOHN E. FENN |
| Credential | M.D. |
| Practice Address |
200 Leeder Hill Drive #2603 Hamden CT 06517 |
| Practice Telephone | 2032300725 |
| Mailing Telephone | 2032300725 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
011305 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | LICENSE | #011305 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336239292 | John Allen Fenn | Chiropractor | 800 Battlefield Blvd S Ste 111, Chesapeake, VA 23322-6670 | 2006-10-13 |
| Street Address |
200 LEEDER HILL DRIVE #2603 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891207221 | Crystal Ann Tolpa | Occupational Therapist | 200 Leeder Hill Drive, Hamden, CT 06517 | 2017-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760844088 | Best Choice Home Health Care Inc | Community/Behavioral Health | 1840 State Streetr, Hamden, CT 06517 | 2016-03-25 |
| 1053689489 | Wanda Bronstein | Physician Assistant | Internal Medicine of Greater New Haven, 1952 Whitney Ave, Hamden, CT 06517 | 2011-12-13 |
| 1033429972 | Heidi Outtrim | Counselor | 197 Haverford St, Hamden, CT 06517 | 2010-10-13 |
| 1265766950 | Alison E. Thurber | Social Worker | 120 Thornton Street, Hamden, CT 06517 | 2009-09-28 |
| 1487724118 | Regina J Magnetti | Social Worker | 103 Carleton St, Hamden, CT 06517 | 2006-11-09 |
| 1407947179 | Diana Congdon | Nurse Practitioner | 1844 Whitney Ave Ste 2, Hamden, CT 06517 | 2006-09-27 |
| 1477535904 | Lori Kurgan Paragas | Podiatrist | 1952 Whitney Ave., 3rd Floor, Hamden, CT 06517 | 2005-11-18 |
| 1376056705 | Cassidy Lynne Jacobs | Physician Assistant | 1952 Whitney Ave Ste 8, Hamden, CT 06517 | 2017-11-07 |
| 1275929291 | Ct Family Foot Care and Surgery, LLC | Clinic/Center | 1952 Whitney Ave., 3rd Floor, Hamden, CT 06517 | 2015-04-07 |
| 1811128283 | Radiology of Greater New Haven LLC. | Radiology | 1952 Whitney Ave., Hamden, CT 06517 | 2009-08-04 |
| Find all providers in zip 06517 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748953 | Usa Vascular Center of Connecticut Pllc | Surgery | 2284 Summer St, Stamford, CT 06905-4503 | 2020-10-23 |
| 1245839869 | Usa Vein Clinics of Connecticut Pllc | Surgery | 2284 Summer St Ste A, Stamford, CT 06905-4503 | 2020-10-23 |
| 1326385428 | Hossein L. Tehrani | Surgery | 49 East Hyerdale Drive, Goshen, CT 06756 | 2013-01-09 |
| 1922368810 | Megan Fritton Shue | Surgery | 540 Saybrook Rd Ste 210, Middletown, CT 06457-4759 | 2012-05-24 |
| 1033366745 | Naiem Nassiri | Surgery | Yale University, 330 Cedar Street, Boardman Building 204, New Haven, CT 06510 | 2008-08-25 |
| 1407989569 | Christos G. Pappas | Surgery | 372 Danbury Rd Ste 220, Wilton, CT 06897-2523 | 2007-03-14 |
| 1477610913 | Stephen Marc Bauer | Surgery | 455 East Putnam Ave, Old Greenwich, CT 06870 | 2007-01-03 |
| 1114019098 | William Gething Crawford | Surgery | 21 Montauk Ave Ste 303, New London, CT 06320-4906 | 2006-09-29 |
| 1083713416 | Raul J. Guzman | Surgery | 330 Cedar St Bldg 204, New Haven, CT 06510 | 2006-09-22 |
| 1801805403 | Connecticut Vascular Surgical Associates, PC | Surgery | 100 Beard Sawmill Rd Ste 250, Shelton, CT 06484-6150 | 2006-08-05 |
| 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.