PROF. WILLIAM HARTLEY FENN (NPI# 1295846087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295846087 |
| Entity Type | Individual |
| Full Name | PROF. WILLIAM HARTLEY FENN |
| Credential | PH.D., PA-C |
| Practice Address |
1903 W Michigan Ave Wmu - Mail Stop 5254 Kalamazoo MI 49008-5200 |
| Practice Telephone | 2693875318 |
| Mailing Telephone | 2693875318 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601001504 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568980118 | William Henry Fenn | Dentist | Interlakes Family Dental Center, PC, 60 Whittier Hwy, Unit 1, Moultonborough, NH 03254 | 2017-09-05 |
| 1184897415 | William Zachary Fenn | Podiatrist | 1788 Republic Rd, Suite 300, Virginia Beach, VA 23454-4552 | 2008-04-08 |
| Street Address |
1903 W MICHIGAN AVE WMU - MAIL STOP 5254 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639151871 | Eric L Lean | Family Medicine | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2005-11-15 |
| 1285285460 | Theresa Chacon | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2019-09-27 |
| 1144871880 | Tasuku Kurane | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2019-09-24 |
| 1942710306 | Kyle Donovan Schiller | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2017-10-11 |
| 1083150692 | Daniel Raymond Walen | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2017-01-06 |
| 1649713819 | Western Michigan University Psychological Assessment and Treatment Ser | Behavioral Analyst | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2016-11-21 |
| 1275085714 | Kayla Brown | Rehabilitation Practitioner | 1903 W Michigan Ave, Eicher 420, Kalamazoo, MI 49008-5200 | 2016-11-01 |
| 1376093492 | Nicholas Hartwigsen | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2016-10-13 |
| 1174997563 | Jake Edward Kuipers | Specialist/Technologist | 1903 W Michigan Ave, Health and Human Performance, Kalamazoo, MI 49008-5200 | 2015-11-23 |
| 1801268446 | David Joseph Rhodes | Student in an Organized Health Care Education/Training Program | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1619574654 | Conor Mccabe | Physician Assistant | 2413 Logan Ave, Kalamazoo, MI 49008-3949 | 2020-10-02 |
| 1134766942 | Scott E Boyd | Physician Assistant | 8071 N 6th St, Kalamazoo, MI 49009-8808 | 2019-12-01 |
| 1720566847 | Lydia Chardel Bruenjes | Physician Assistant | 6565 W Main St #100, Kalamazoo, MI 49009-9199 | 2018-07-31 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1467901892 | Brian Christopher Rensch | Physician Assistant | 916 Austin St, Kalamazoo, MI 49008-1105 | 2016-09-27 |
| 1427415462 | Katelyn Vasicek | Physician Assistant | 601 John St Ste M-302, Kalamazoo, MI 49007 | 2016-01-21 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1700291549 | Lauren Gilbertson | Physician Assistant | 1722 Shaffer St Ste 3, Kalamazoo, MI 49048-1633 | 2014-06-30 |
| 1447445002 | Jennifer Hurtt | Physician Assistant | 1541 Gull Rd Ste 200, Kalamazoo, MI 49048-1644 | 2007-09-07 |
| Find all providers in KALAMAZOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.