Mark Fenster (NPI# 1639197049, PAC ID# 5395870604) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1639197049 |
| PAC ID by PECOS | 5395870604 |
| Professional Enrollment ID | I20100311000790 |
| Full Name | Mark Fenster |
| Organization Legal Name | DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC |
| Address |
9000 N Main St Suite 321 Englewood OH 45415-1185 |
| Phone Number | 9378360500 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7113973041 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5300 Far Hills Ave, Dayton, OH 45429-2381 | 9374337536 | DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC |
| 9000 N Main St, Suite 321, Englewood, OH 45415-1185 | 9378360500 | DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 99% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% |
| Organization Legal Name | DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith Lauren Goodwin | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 2359 E Main St, Bexley, OH 43209-2421 |
| Tara Rower | Nurse Practitioner | Dermatologists of Southwestern Ohio, LLC | 3572 Dayton Xenia Rd, Suite 105, Beavercreek, OH 45432-2838 |
| Leigh Ann Pansch | Nurse Practitioner | Dermatologists of Southwestern Ohio, LLC | 7691 5 Mile Rd, Suite 312, Cincinnati, OH 45230-4348 |
| Shannon M Groves | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 6110 Radio Way, Mason, OH 45040-4520 |
| Phillip K Hall | Dermatology | Dermatologists of Southwestern Ohio, LLC | 45 S Stanfield Rd, Troy, OH 45373-2366 |
| Michael P Conroy | Dermatology | Dermatologists of Southwestern Ohio, LLC | 7450 Hospital Dr, Suite 370, Dublin, OH 43016-9629 |
| Thomas G Olsen | Dermatology | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| Matthew James Zirwas | Dermatology | Dermatologists of Southwestern Ohio, LLC | 2065 Stringtown Rd, Grove City, OH 43123-2930 |
| Megan M Whitehouse | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 6110 Radio Way, Mason, OH 45040-4520 |
| Dominique N Hunt | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| Street Address |
9000 N MAIN ST SUITE 321 |
| City | ENGLEWOOD |
| State | OH |
| Zip | 45415-1185 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Timothy Loughlin | Gastroenterology | Dayton Gastroenterology Inc | 9000 N Main St, Suite 405, Englewood, OH 45415-1170 |
| Toby Lees | Urology | Dayton Physicians LLC | 9000 N Main St, Suite 333, Dayton, OH 45415-1166 |
| Susan M Emmerling | Obstetrics/gynecology | Premier Health Specialists Inc | 9000 N Main St, Suite 232, Englewood, OH 45415-1184 |
| Rebecca R Balaj | Pathology | Dayton Physicians LLC | 9000 N Main St, Suite 340, Dayton, OH 45415-1185 |
| Howard M Gross | Hematology/oncology | Dayton Physicians LLC | 9000 N Main St, Suite G 36, Dayton, OH 45415-1166 |
| Ronald C Chiu | Pathology | Dayton Physicians LLC | 9000 N Main St, Suite 340, Dayton, OH 45415-1185 |
| Melissa A Grilliot | Pathology | Dayton Physicians LLC | 9000 N Main St, Suite 340, Dayton, OH 45415-1185 |
| Michael W Gorsky | Gastroenterology | Dayton Gastroenterology Inc | 9000 N Main St, Suite 405, Englewood, OH 45415-1170 |
| Jon Patrick Ryan | Rheumatology | Samaritan Family Care Inc | 9000 N Main St, Suite 200, Englewood, OH 45415-1165 |
| Ramaswamy Bathini | Cardiovascular Disease (cardiology) | Premier Health Specialists Inc | 9000 N Main St, Suite 101, Dayton, OH 45415-1166 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anuj Goyal | Pulmonary Disease | Rajesh C Patel Md Inc | 9001 N Main St, Suite A, Dayton, OH 45415-1154 |
| Rajesh C Patel | Pulmonary Disease | Rajesh C Patel Md Inc | 9001 N Main St, Suite A, Dayton, OH 45415-1154 |
| Imad S Basha | Pulmonary Disease | Rajesh C Patel Md Inc | 9001 N Main St, Suite A, Dayton, OH 45415-1154 |
| Patrick Allan | Critical Care (intensivists) | Rajesh C Patel Md Inc | 9001 N Main St, Suite A, Dayton, OH 45415-1154 |
| Ellen Beltran Pacia | Internal Medicine | Rajesh C Patel Md Inc | 9001 N Main St, Suite A, Dayton, OH 45415-1154 |
| Thomas M Yunger | Pulmonary Disease | Rajesh C Patel Md Inc | 9001 N Main St, Suite A, Dayton, OH 45415-1154 |
| Kathleen Wittberg | Family Medicine | Main Street Family Practice Inc | 9000 N Main St, Suite 403, Englewood, OH 45415-1165 |
| James D Aldstadt | Family Medicine | Samaritan Family Care Inc | 9000 N Main St, Suite 300, Englewood, OH 45415-1165 |
| Polina Sadikov | Family Medicine | Samaritan Family Care Inc | 9000 N Main St, Suite 300, Englewood, OH 45415-1165 |
| Seth Tyler Kettel | Family Medicine | Samaritan Family Care Inc | 9000 N Main St, Suite 300, Englewood, OH 45415-1165 |
| Find all physicians in zip 45415 | |||
| City | ENGLEWOOD |
| Zip Code | 45415 |
| Specialty | DERMATOLOGY |
| City + Specialty | ENGLEWOOD + DERMATOLOGY |
Please comment or provide details below to improve the information on Mark Fenster.
| 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.