Theodore L Fellenbaum (NPI# 1366457848, PAC ID# 1759378524) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1366457848 |
| PAC ID by PECOS | 1759378524 |
| Professional Enrollment ID | I20080829000557 |
| Full Name | Theodore L Fellenbaum |
| Organization Legal Name | DR. T. FELLENBAUM M.D. AND OB/GYN ASSOCIATES, P.C. |
| Address |
4520 Linden Creek Pkwy Suite F Flint MI 48507-2969 |
| Phone Number | 8107338200 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1976 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 6103992078 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230141 | MCLAREN FLINT |
| Address | Phone | Organization |
|---|---|---|
| 4520 Linden Creek Pkwy, Suite F, Flint, MI 48507-2969 | 8107338200 | DR. T. FELLENBAUM M.D. AND OB/GYN ASSOCIATES, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 89% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 85% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 49% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 26% |
| Organization Legal Name | DR. T. FELLENBAUM M.D. AND OB/GYN ASSOCIATES, P.C. |
| Physicians | 1 |
| Street Address |
4520 LINDEN CREEK PKWY SUITE F |
| City | FLINT |
| State | MI |
| Zip | 48507-2969 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Balvant K Ganatra | Gastroenterology | Balvant K Ganatra Md PC | G5154 Miller Rd A B, Flint, MI 48507 |
| Robert J Zendler Ii | Ophthalmology | 4281 W Lennon Rd, Flint, MI 48507-1024 | |
| Caroline Dennis Mathew | Internal Medicine | 4212 Lennon Rd, Flint, MI 48507-1025 | |
| Aaron K Blossom | Chiropractic | 5065 Miller Rd G, Flint, MI 48507-1037 | |
| James Culver | Interventional Pain Management | 5202 Miller Rd, Flint, MI 48507-1040 | |
| Mark Anthony Mattos | Vascular Surgery | Vascular Surgery Assoc PC | 5202 Miller Rd, Flint, MI 48507-1040 |
| Gregory J Fortin | Vascular Surgery | Vascular Surgery Assoc PC | 5202 Miller Rd, Flint, MI 48507-1040 |
| Alison M Sesock | Nurse Practitioner | Vascular Surgery Assoc PC | 5202 Miller Rd, Flint, MI 48507-1040 |
| Ashley R Hartsoe | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Michigan PC | 5202 Miller Rd, Flint, MI 48507-1040 |
| Jessica J Ferris | Certified Registered Nurse Anesthetist (crna) | Superior Anesthetists Associates Inc | 5202 Miller Rd, Flint, MI 48507-1040 |
| Find all physicians in zip 48507 | |||
| City | FLINT |
| Zip Code | 48507 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | FLINT + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Theodore L Fellenbaum.
| 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.