MICHAEL H. FENN, M.D., INC. (NPI# 1467519629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467519629 |
| Entity Type | Organization |
| Organization Name | MICHAEL H. FENN, M.D., INC. |
| Practice Address |
5565 Grossmont Center Dr Ste 352 La Mesa CA 91942-3027 |
| Practice Telephone | 6194660048 |
| Mailing Telephone | 6194660048 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL H. FENN (CHIEF) |
| Authorized Official Telephone | 6194660048 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G17188 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G171880 | 05 |
| Street Address |
5565 GROSSMONT CENTER DR STE 352 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164940086 | Larry Steven Zinn | Otolaryngology | 5625 Lake Murray Blvd Unit B, La Mesa, CA 91942-1924 | 2017-08-30 |
| 1689736522 | James Kieran Amsberry | Otolaryngology | 5565 Grossmont Center Dr Bldg 3 Ste 101, La Mesa, CA 91942-3021 | 2006-12-15 |
| 1063592277 | Sean Christopher Skelton | Otolaryngology | 5565 Grossmont Center Dr Ste 101, La Mesa, CA 91942-3021 | 2006-10-16 |
| 1326452855 | Alexis Patsias | Otolaryngology | 5565 Grossmont Center Dr Ste 101, La Mesa, CA 91942-3021 | 2014-06-12 |
| 1396997664 | Rowley Sarah Busino | Otolaryngology | 5565 Grossmont Center Dr, Bldg 3 Suite 101, La Mesa, CA 91942-3020 | 2008-10-18 |
| 1003067745 | Jeremiah Moles | Otolaryngology | 5565 Grossmont Center Dr, Bldg 3 Suite 101, La Mesa, CA 91942-3020 | 2008-09-30 |
| 1558550053 | Paul Schalch | Otolaryngology | 5565 Grossmont Center Dr, Bldg. 3, Suite 101, La Mesa, CA 91942-3020 | 2007-10-20 |
| 1770673238 | Geoffrey Barrett Pitzer | Otolaryngology | 5565 Grossmont Center Drive, Building 3 Suite 101, La Mesa, CA 29425-0001 | 2006-10-13 |
| 1548286453 | Richard Ming-cheng Liu | Otolaryngology | 5565 Grossmont Center Dr, Bldg 3, Suite 101, La Mesa, CA 91942 | 2006-07-14 |
| 1659396976 | John Howard Taylor | Otolaryngology | 5565 Grossmont Center Dr, Bldg 3 Suite 101, La Mesa, CA 91942 | 2006-07-13 |
| Find all providers in LA MESA | ||||
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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.