Individual
ANDREW H. FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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