DR. THEODORE L. FELLENBAUM


Address: 4520 Linden Creek Pkwy, Suite F, Flint, MI 48507-2969
Phone: 8107338200

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 4301056913 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 4520 LINDEN CREEK PKWY
SUITE F
City FLINT
State MI
Zip Code 48507-2969

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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City FLINT
Zip Code 48507

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Dataset Information

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.

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