JOHN M FENTON III (NPI# 1376811489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376811489 |
| Entity Type | Individual |
| Full Name | JOHN M FENTON III |
| Credential | CPO |
| Practice Address |
838 Rachel St Republic MO 65738-1721 |
| Practice Telephone | 4177328483 |
| Practice Fax Number | 4177328902 |
| Mailing Telephone | 4177328483 |
| Mailing Fax Number | 4177328902 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063592590 | John Fenton | Social Worker | 675 Old Portland Rd, Brunswick, ME 04011-7207 | 2006-10-17 |
| 1396070751 | John A Fenton | Registered Nurse | 5524 S Prince St, Littleton, CO 80120-1126 | 2009-10-02 |
| 1154478550 | John William Fenton | Psychiatry & Neurology | 2060 Fairmont Dr, John George Hospital Unit B, San Leandro, CA 94578-1001 | 2007-01-05 |
| Street Address |
838 RACHEL ST |
| City | REPUBLIC |
| State | MO |
| Zip Code | 65738-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215585922 | Lawana Kay Patterson | Technician | 1702 East New Madrid, Republic, MO 65738 | 2019-08-27 |
| 1497219059 | Samantha J Steed | Chiropractor | 530 E Hadley St, Republic, MO 65738 | 2019-01-29 |
| 1962643338 | Dave Bremer | Physical Therapist | 5030 S Westwood Dr, Republic, MO 65738 | 2009-03-16 |
| 1689704918 | Kevin Edward Medlin | Dentist | 834 S Illinois Ave, Republic, MO 65738 | 2007-03-06 |
| 1437284023 | Teresa Ann Davidson | Occupational Therapist | 1983 S Fr 69, Republic, MO 65738 | 2007-02-22 |
| 1144303363 | Marcia L Preston | Dentist | 604 East Elm, Republic, MO 65738 | 2006-10-23 |
| 1801908355 | David Kent Budd | Dentist | 1093 Us Highway 60 E, Republic, MO 65738 | 2006-08-31 |
| 1124011630 | Jonathan K Armstrong | Chiropractor | 851 S Colorado, Republic, MO 65738 | 2005-08-30 |
| 1861970816 | Matthew Charles Mcnitt | Pharmacist | 1173 E Hines St, Republic, MO 65738 | 2018-08-01 |
| 1194237826 | Alexandria Paige Holmes | Optometrist | 612 E Elm St, Republic, MO 65738 | 2017-11-03 |
| Find all providers in zip 65738 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053811174 | Central Orthotics LLC | Prosthetic/Orthotic Supplier | 431 Front St, Republic, MI 49879-9100 | 2018-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355689 | Hair On The Edge | Prosthetic/Orthotic Supplier | 9708 Lackland Rd, Overland, MO 63114-3414 | 2020-10-28 |
| 1427656727 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 755 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8713 | 2020-10-09 |
| 1437783776 | Mager & Gougelman of St. Louis, LLC | Prosthetic/Orthotic Supplier | 1034 S Brentwood Blvd Ste 1880, Richmond Heights, MO 63117-1218 | 2020-02-25 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1407496201 | Ortheco LLC | Prosthetic/Orthotic Supplier | 2907 Independence St Ste D, Cape Girardeau, MO 63703-5027 | 2020-01-09 |
| 1477100717 | Desirae Clark | Prosthetic/Orthotic Supplier | 5100 Lydia Ave, Kansas City, MO 64110-2608 | 2019-08-21 |
| 1720540313 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 754 Luetkenhaus Blvd, Wentzville, MO 63385-3515 | 2019-04-02 |
| 1093272460 | Axes Physical Therapy I, LLC | Prosthetic/Orthotic Supplier | 2018 Phoenix Center Dr, Washington, MO 63090-5544 | 2019-02-21 |
| 1215400312 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 4801 Main St Ste 220, Kansas City, MO 64112-2929 | 2019-01-10 |
| 1649778382 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 50 Crestwood Executive Ctr Ste 315, Saint Louis, MO 63126-1900 | 2018-01-29 |
| Find all providers with the same taxonomy | ||||
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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.