DR. THEODORE L. FELLENBAUM (NPI# 1366457848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366457848 |
Entity Type | Individual |
Full Name | DR. THEODORE L. FELLENBAUM |
Credential | M.D. |
Practice Address |
4520 Linden Creek Pkwy Suite F Flint MI 48507-2969 |
Practice Telephone | 8107338200 |
Practice Fax Number | 8107338272 |
Mailing Telephone | 8107338200 |
Mailing Fax Number | 8107338272 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2013-07-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 4301056913 | MI | Allopathic & Osteopathic Physicians |
Street Address |
4520 LINDEN CREEK PKWY SUITE F |
City | FLINT |
State | MI |
Zip Code | 48507-2969 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154892016 | Reclaiming Futures Counseling LLC | Counselor | 4520 Linden Creek Pkwy, Flint, MI 48507-2969 | 2018-12-17 |
1841620796 | Frankie Bonner | Nurse Practitioner | 4520 Linden Creek Pkwy, Suite F, Flint, MI 48507-2969 | 2013-11-13 |
1396173118 | Tlc Pediatrics, PC | Pediatrics | 4520 Linden Creek Pkwy, Suite F, Flint, MI 48507-2969 | 2013-10-15 |
1316114549 | Dr. T. Fellenbaum M.d. & Ob/gyn Associates, P.C. | Obstetrics & Gynecology | 4520 Linden Creek Pkwy, Suite F, Flint, MI 48507-2969 | 2008-05-16 |
1700988474 | Sarah R Sanchez | Pediatrics | 4520 Linden Creek Pkwy, Ste F, Flint, MI 48507-2969 | 2006-09-02 |
1063514701 | Cynthia R Horning | Pediatrics | 4520 Linden Creek Pkwy, Ste F, Flint, MI 48507-2969 | 2006-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
Find all providers in zip 48507 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336396142 | Midwest Medical Management | Obstetrics & Gynecology | G-3422 Flushing Rd, Flint, MI 48504 | 2008-08-22 |
1942491204 | Saba Baig | Obstetrics & Gynecology | G 3283 Beecher Road, Flint, MI 48532 | 2007-08-01 |
1760516686 | Feminine Health Care Center, P.C. | Obstetrics & Gynecology | 2032 S Saginaw St, Flint, MI 48503-3844 | 2007-03-15 |
1255467486 | Lewis Harold Twigg II | Obstetrics & Gynecology | 6242 Covered Wagons Trl, Flint, MI 48532-2169 | 2007-02-23 |
1043317423 | Larry J Young | Obstetrics & Gynecology | Two Hurley Plaza, Suite 204, Flint, MI 48503 | 2006-09-20 |
1356456511 | Mona Hardas | Obstetrics & Gynecology | 3353 Fleckenstein Rd, Flint, MI 48507-3035 | 2006-08-20 |
1922015494 | Bonita M. Wang | Obstetrics & Gynecology | G-1425 S. Graham Road, Flint, MI 48532 | 2006-08-01 |
1780624536 | Lee Charles Perry | Obstetrics & Gynecology | G-1125 South Linden Road, Suite 900, Flint, MI 48532 | 2006-06-08 |
1386611432 | Jay C Holmes | Obstetrics & Gynecology | 2 Hurley Plz, Suite 109, Flint, MI 48503-5903 | 2006-03-07 |
1841267903 | Gregorio Eduardo Lecea | Obstetrics & Gynecology | 2 Hurley Plz Ste 204, Flint, MI 48503-5905 | 2006-03-07 |
Find all providers in FLINT |
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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.