Individual
ANDREW H. FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 WABASH AVE, SUITE 335, AKRON, OH 44307-2433
(330) 344-6500
(330) 434-6810
Mailing address
400 WABASH AVE, SUITE 335, AKRON, OH 44307-2433
(330) 344-6500
(330) 434-6810
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.055898
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0687153
IND. MEDICARE PTAN FOR ACUTE CARE SURGERY SERVICE
OH
05
—
0832764
—
OH
01
—
1376779702
ACUTE CARE SURGERY SERVICE TYPE 2 NPI #
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
3010904
ACUTE CARE SURGERY SERVICE MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
01
—
9382831
ACUTE CARE SURGERY SERVICE MEDICARE GROUP #
OH
Enumeration date
10/25/2006
Last updated
01/29/2013
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