THOMAS FENNELL (NPI# 1386844405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386844405 |
| Entity Type | Individual |
| Full Name | THOMAS FENNELL |
| Practice Address |
3601 W. 13 Mile Road Royal Oak MI 48073 |
| Mailing Address |
26901 Beaumont Blvd Suite 3d Southfield MI 48033-3849 |
| Practice Telephone | 2484232410 |
| Practice Fax Number | 2484232576 |
| Mailing Telephone | 9475221861 |
| Mailing Fax Number | 9475220307 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2019-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
4301090586 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144202037 | Thomas B Fennell Jr. | Chiropractor | 1627 Freeport Road, Natrona Neights, PA 15065 | 2005-11-16 |
| Street Address |
3601 W. 13 MILE ROAD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124034624 | Tarun Gupta | Radiology | 3601 W. 13 Mile Road, William Beaumont Hospital, Royal Oak, MI 48073 | 2006-08-01 |
| 1124647409 | Michael Sobolic | Surgery | 3601 W. 13 Mile Road, 3rd Floor South Tower, Surgery Education Office, Royal Oak, MI 48073 | 2020-04-15 |
| 1619499449 | Zein El-zein | Orthopaedic Surgery | 3601 W. 13 Mile Road, Royal Oak, MI 48073 | 2017-07-13 |
| 1407019573 | Dawn C. Jung | Emergency Medicine | 3601 W. 13 Mile Road, Emergency Dept, Royal Oak, MI 48073-6769 | 2008-07-08 |
| 1528268448 | Venugopal Amula | Pediatrics | 3601 W. 13 Mile Road, Royal Oak, MI 48073 | 2007-07-19 |
| 1407064751 | Aly Lakhani | Internal Medicine | 3601 W. 13 Mile Road, Royal Oak, MI 48073 | 2007-05-18 |
| 1477760650 | Ludmyla Gerasymchuk | Internal Medicine | 3601 W. 13 Mile Road, Royal Oak, MI 48073 | 2007-05-17 |
| 1184839938 | Brian James Muckey | Internal Medicine | 3601 W. 13 Mile Road, Royal Oak, MI 48073 | 2007-05-14 |
| 1598970295 | Florian Bukovec | Internal Medicine | 3601 W. 13 Mile Road, Royal Oak, MI 48073 | 2007-05-14 |
| 1356556054 | Thomas Kim | Internal Medicine | 3601 W. 13 Mile Road, Royal Oak, MI 48073 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295795391 | Alison Uzieblo | Pathology | 3601 W 13 Mile, Royal Oak, MI 48073-6769 | 2006-03-24 |
| 1023243730 | Ryan Johnson | Pathology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2009-05-26 |
| 1467668756 | Valerie Harris | Pathology | 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2007-05-15 |
| 1881808640 | Genevieve Nolan | Pathology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2007-05-10 |
| 1811044878 | William Beaumont Hospital | Pathology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2007-01-04 |
| 1760429534 | Wei Li | Pathology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2006-06-01 |
| 1770520504 | Deborah L Shuster | Pathology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2006-06-01 |
| 1720032907 | Zhenhong Qu | Pathology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2006-05-20 |
| 1952350258 | William Beaumont Hospital | Pathology | 3601 W 13 Mile Rd, 400-fsc PCs, Royal Oak, MI 48073-6712 | 2006-05-06 |
| 1336109438 | Jacqueline K Macknis | Pathology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6769 | 2006-03-24 |
| Find all providers in ROYAL OAK | ||||
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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.