David R Fenwick (NPI# 1104899426, PAC ID# 8527965177) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1104899426 |
| PAC ID by PECOS | 8527965177 |
| Professional Enrollment ID | I20031212000831 |
| Full Name | David R Fenwick |
| Address |
424 N Main St Suite 4 Middlebury IN 46540-8988 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1985 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 424 N Main St, Suite 4, Middlebury, IN 46540-8988 |
| Street Address |
424 N MAIN ST SUITE 4 |
| City | MIDDLEBURY |
| State | IN |
| Zip | 46540-8988 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig M Enright | Physical Therapy | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 54938 State Rd, Suite 13, Middlebury, IN 46540-8608 |
| Jaime R Applegate | Physical Therapy | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 54938 State Rd, Suite 13, Middlebury, IN 46540-8608 |
| Anna Kathryn Kragt | Family Medicine | Beacon Medical Group Inc | 206 W Warren St, Beacon Medical Group Middlebury, Middlebury, IN 46540-9410 |
| Scott D Eriksen | Nurse Practitioner | Beacon Medical Group Inc | 206 W Warren St, Beacon Medical Group Middlebury, Middlebury, IN 46540-9410 |
| Rachel E Dunham | Family Practice | Beacon Medical Group Inc | 206 W Warren St, Beacon Medical Group Middlebury, Middlebury, IN 46540-9410 |
| Amy Hoffman | Nurse Practitioner | Goshen Health System Inc | 226 W Us Hwy 20, Middlebury, IN 46540-9713 |
| Deborah Carol Nethercutt | Nurse Practitioner | Goshen Health System Inc | 226 W Us Hwy 20, Middlebury, IN 46540-9713 |
| Alyssa Cripe | Nurse Practitioner | Goshen Health System Inc | 226 W Us Hwy 20, Middlebury, IN 46540-9713 |
| City | MIDDLEBURY |
| Zip Code | 46540 |
| Specialty | OPTOMETRY |
| City + Specialty | MIDDLEBURY + OPTOMETRY |
Please comment or provide details below to improve the information on David R Fenwick.
| 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.