Derick R Fenton (NPI# 1750673539, PAC ID# 0446551246) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1750673539 |
| PAC ID by PECOS | 0446551246 |
| Professional Enrollment ID | I20151221002285 |
| Full Name | Derick R Fenton |
| Organization Legal Name | MONTROSE MEMORIAL HOSPITAL, INC |
| Address |
715 S 3rd St Montrose CO 81401-4209 |
| Phone Number | 9702496737 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1658272992 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060006 | MONTROSE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 715 S 3rd St, Montrose, CO 81401-4209 | 9702496737 | MONTROSE MEMORIAL HOSPITAL, INC |
| 800 S 3rd St, Montrose, CO 81401-4212 | 9702492211 | MONTROSE MEMORIAL HOSPITAL, INC |
| Organization Legal Name | MONTROSE MEMORIAL HOSPITAL, INC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheena Marie Wisler | Obstetrics/gynecology | Montrose Memorial Hospital, Inc | 715 S 3rd St, Montrose, CO 81401-4209 |
| Virginia M Tjan | Hematology/oncology | Montrose Memorial Hospital, Inc | 600 S 5th St, Montrose, CO 81401-5711 |
| Alexis Nicole Bencze | Emergency Medicine | Montrose Memorial Hospital, Inc | 800 S 3rd St, Montrose, CO 81401-4212 |
| Douglas A Borgo | Emergency Medicine | Montrose Memorial Hospital, Inc | 800 S 3rd St, Montrose, CO 81401-4212 |
| Jason C Browder | Physician Assistant | Montrose Memorial Hospital, Inc | 800 S 3rd St, Montrose, CO 81401-4212 |
| Luther Basel Weathers Iii | Cardiovascular Disease (cardiology) | Montrose Memorial Hospital, Inc | 800 S 3rd St, Montrose, CO 81401-4212 |
| Katie Hughes | Emergency Medicine | Montrose Memorial Hospital, Inc | 800 S 3rd St, Montrose, CO 81401-4212 |
| Charles Wilkins | Cardiovascular Disease (cardiology) | Montrose Memorial Hospital, Inc | 800 S 3rd St, Montrose, CO 81401-4212 |
| Lee David Ettinger | Pulmonary Disease | Montrose Memorial Hospital, Inc | 800 S 3rd St, Montrose, CO 81401-4212 |
| Steven Patrick Emmons | Hematology/oncology | Montrose Memorial Hospital, Inc | 800 S 3rd St, Montrose, CO 81401-4212 |
| Street Address |
715 S 3RD ST |
| City | MONTROSE |
| State | CO |
| Zip | 81401-4209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheena Marie Wisler | Obstetrics/gynecology | Montrose Memorial Hospital, Inc | 715 S 3rd St, Montrose, CO 81401-4209 |
| James N Gilham | Obstetrics/gynecology | Montrose Memorial Hospital, Inc | 715 S 3rd St, Montrose, CO 81401-4209 |
| Richard G Hanley | Obstetrics/gynecology | Montrose Memorial Hospital, Inc | 715 S 3rd St, Montrose, CO 81401-4209 |
| Margaret M Benasutti | Nurse Practitioner | Montrose Memorial Hospital | 715 S 3rd St, Alpine Women's Centre, Montrose, CO 81401-4209 |
| Debra Chapman | Nurse Practitioner | Montrose Memorial Hospital | 715 S 3rd St, Alpine Women's Centre, Montrose, CO 81401-4209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacey R Estes | Physician Assistant | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Tiffany E Russell | Family Medicine | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Theresa C Frick | Certified Nurse Midwife (cnm) | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Mary V Mebane | Family Medicine | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Deborah Ls Westervelt | Clinical Social Worker | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Eric G Boschen | Optometry | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| John T Unger | Chiropractic | 201 S 3rd St, Montrose, CO 81401-3617 | |
| Keith A Lundberg | Chiropractic | 140 S 5th St, Montrose, CO 81401-3663 | |
| Sean Isaac May | Chiropractic | 164 Colorado Ave, Suite A, Montrose, CO 81401-3672 | |
| Nichole L Moorman | Clinical Social Worker | 419 N 1st St, Unit E, Montrose, CO 81401-3703 | |
| Find all physicians in zip 81401 | |||
| City | MONTROSE |
| Zip Code | 81401 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MONTROSE + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.