DR. MICHAEL MELVIN FUENFER (NPI# 1962575936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962575936 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL MELVIN FUENFER |
| Credential | M.D. |
| Practice Address |
25 Highland Ave Wound Care Center Newburyport MA 01950-3867 |
| Mailing Address |
Po Box 129 Danvers MA 01923-0229 |
| Practice Telephone | 9787624888 |
| Practice Fax Number | 9787623922 |
| Mailing Telephone | 9787624888 |
| Mailing Fax Number | 3017853820 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 49938 | NH | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
028157 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1962575936 | 05 |
| Street Address |
25 HIGHLAND AVE WOUND CARE CENTER |
| City | NEWBURYPORT |
| State | MA |
| Zip Code | 01950-3867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839784 | Gail B Fayre | Family Medicine | 25 Highland Ave, Newburyport, MA 01950-3867 | 2005-05-27 |
| 1376177980 | Northeast Cardiology and Cardiac Electrophysiology, LLC | Internal Medicine | 25 Highland Ave, Newburyport, MA 01950-3867 | 2020-02-24 |
| 1194355578 | John Thagard | Nurse Practitioner | 25 Highland Ave, Newburyport, MA 01950-3867 | 2020-01-24 |
| 1982240586 | Angela Faro | Nurse Practitioner | 25 Highland Ave, Newburyport, MA 01950-3894 | 2019-11-19 |
| 1831661172 | Laura Rossi | Nurse Practitioner | 25 Highland Ave, Newburyport, MA 01950-3867 | 2018-12-27 |
| 1497227219 | Eileen Maureen Pekarski | Social Worker | 25 Highland Ave, Newburyport, MA 01950-3894 | 2018-12-18 |
| 1205363314 | Daniel Nicholas Tribastone | Registered Nurse | 25 Highland Ave, Newburyport, MA 01950-3867 | 2017-05-19 |
| 1548709462 | Anna Jaques Bidco Inpatient Specialists Pllc | Internal Medicine | 25 Highland Ave, Newburyport, MA 01950-3867 | 2017-02-13 |
| 1225573611 | Anna Jaques Inpatient Specialists Pllc | Internal Medicine | 25 Highland Ave, Newburyport, MA 01950-3867 | 2016-12-21 |
| 1679923775 | Jenya Appleton | Nurse Practitioner | 25 Highland Ave, Newburyport, MA 01950-3867 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954212 | Kirsten Ross | Registered Nurse | Anna Jaques Hospital, 25 Highland Ave, Newburyport, MA 01950 | 2020-02-18 |
| 1649752098 | William Edward Taylor | Social Worker | 25 Bromfield Street Side B, Newburyport, MA 01950 | 2018-09-02 |
| 1982113486 | Rachel Harris | Physical Therapy Assistant | 20 Beacon Ave, Unit 6, Newburyport, MA 01950 | 2017-09-27 |
| 1366998163 | Charles A. Nickou, D.m.d LLC | Dentist | 16 Harris Street, Newburyport, MA 01950 | 2016-08-31 |
| 1972954451 | Kathryn Jane Giguere | Nurse Practitioner | 7 Graf Road, Newburyport, MA 01950 | 2016-06-27 |
| 1487023230 | Christine Burgess | Social Worker | 180 Lowe Street, County Center for Health Rehabilitation, Newburyport, MA 01950 | 2015-09-23 |
| 1356746333 | Kelly Crotty | Occupational Therapist | 26 Washington St, Newburyport, MA 01950 | 2014-11-03 |
| 1225444961 | Christine Scotto | Licensed Practical Nurse | 41 Maple Lane, Monroe, NY 01950 | 2014-07-02 |
| 1811315831 | Newburyport Cardiovascular Associates, LLC | Internal Medicine | 7 Henry Graf Jr. Road, Newburyport, MA 01950 | 2014-04-07 |
| 1205189081 | Darryl Lemus | Counselor | 11 Market Squre Suite 6, Newburyport, MA 01950 | 2012-10-18 |
| Find all providers in zip 01950 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629360680 | Cornelia Little Griggs | Surgery | 55 Fruit St Dept Of, Boston, MA 02114-2621 | 2011-05-10 |
| 1720270606 | Belinda Hsi Dickie | Surgery | 300 Longwood Ave # Fegan3, Boston, MA 02115-5724 | 2007-08-14 |
| 1346395076 | Patrick J Javid | Surgery | Children's Hospital Fegan 3, 300 Longwood Ave, Boston, MA 02115 | 2007-01-24 |
| 1285671875 | Mark Puder | Surgery | 300 Longwood Ave/fegan 3, Children's Hospital, Boston, MA 02115 | 2006-06-01 |
| 1326098419 | Brian F. Gilchrist | Surgery | 750 Washington Street, The Floating Hospital for Children, Boston, MA 02111 | 2006-05-11 |
| 1689634933 | Ronald Rubin | Surgery | 40 Wykeham Road, West Newton, MA 02465-2420 | 2006-03-23 |
| 1184936320 | Prathima Nandivada | Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2010-07-03 |
| 1821317587 | Farokh Rustom Demehri | Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2010-05-20 |
| 1518127075 | Muriel Aya Cleary | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2008-06-09 |
| 1326206152 | Artur Chernoguz | Surgery | 800 Washington St, Boston, MA 02111-1552 | 2008-05-29 |
| Find all providers with the same taxonomy | ||||
| City | NEWBURYPORT |
| Zip Code | 01950 |
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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.