JOHN DAVID FENLEY (NPI# 1568537751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568537751 |
| Entity Type | Individual |
| Full Name | JOHN DAVID FENLEY |
| Credential | MD |
| Practice Address |
302 Sunset Dr Suite 105 Johnson City TN 37604 |
| Practice Telephone | 4232821930 |
| Practice Fax Number | 4232830608 |
| Mailing Telephone | 4232821930 |
| Mailing Fax Number | 4232830608 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0192735 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 4293750 | 01 | |
| TN | BCBS | 3005600 | 01 |
| Street Address |
302 SUNSET DR SUITE 105 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437112984 | Angela Michelle Patteson | Optometrist | 302 Sunset Dr, Suite 109, Johnson City, TN 37604-2408 | 2006-04-07 |
| 1477963130 | Michelle Byrd | Massage Therapist | 302 Sunset Dr, #105, Johnson City, TN 37604-2408 | 2014-05-04 |
| 1265853253 | Sunset Eye Care PC | Optometrist | 302 Sunset Dr, Suite 109, Johnson City, TN 37604-2408 | 2013-12-18 |
| 1245496777 | New Day Psychological Services, LLC | Psychologist | 302 Sunset Dr, Suite 105, Johnson City, TN 37604-2408 | 2008-08-04 |
| 1962675710 | Dana Bates Skaggs | Psychologist | 302 Sunset Dr, Suite 105, Johnson City, TN 37604-2408 | 2008-04-11 |
| 1114097078 | Margaret Shippen Robbins | Psychiatry & Neurology | 302 Sunset Dr, Suite 106, Johnson City, TN 37604-2408 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228619 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 1310 N Roan St, Johnson City, TN 37601-3942 | 2019-11-04 |
| 1942696158 | Bill Mccartt | Psychiatry & Neurology | 267 Laurel Cyn, Johnson City, TN 37615-4727 | 2015-04-14 |
| 1194146894 | Medical Education Assistance Corporation | Psychiatry & Neurology | 2109 W Market St Ste 140, Johnson City, TN 37604 | 2013-12-23 |
| 1538450408 | Faith A Aimua | Psychiatry & Neurology | 206 Princeton Rd Ste 18, Johnson City, TN 37601-2025 | 2011-04-27 |
| 1972753663 | Marina S.l. Colombo | Psychiatry & Neurology | Lamont and Veterans Way. Mountain Home., James H Quillen Va Med Center., Johnson City, TN 37684 | 2008-09-30 |
| 1588853295 | Mountain States Health Alliance | Psychiatry & Neurology | 508 Princeton Commons, Suite 403, Johnson City, TN 37601-2060 | 2007-10-18 |
| 1639370950 | Marian Eleanor Steen | Psychiatry & Neurology | 607 E Watauga Ave Apt 3, Johnson City, TN 37601-4071 | 2007-05-31 |
| 1497967897 | David Lionel Forester | Psychiatry & Neurology | 209 E Unaka Ave, Johnson City, TN 37601-4625 | 2007-05-06 |
| 1407982762 | William Arthur Wiley Jr. | Psychiatry & Neurology | 112 E Myrtle Avenue, Suite 506, Johnson City, TN 37601-8600 | 2007-02-23 |
| 1356417661 | Jill Baron | Psychiatry & Neurology | 804 Valley Plaza, Johnson City, NY 13790 | 2006-11-28 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.