FENTON FAMILY MEDICINE, P.C. (NPI# 1720198039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720198039 |
| Entity Type | Organization |
| Organization Name | FENTON FAMILY MEDICINE, P.C. |
| Practice Address |
445 N Fenway Dr Fenton MI 48430-2666 |
| Practice Telephone | 8107506060 |
| Practice Fax Number | 8107506081 |
| Mailing Telephone | 8107506060 |
| Mailing Fax Number | 8107506081 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KENNETH R STEIBEL (PRESIDENT) |
| Authorized Official Telephone | 8107506060 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
KS051250 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 080B56203 | 01 |
| MI | HEALTH PLUS | 2509644012 | 01 |
| MI | MCARE | C3137 | 01 |
| MI | BLUE CARE NETWORK | 0B56203 | 01 |
| MI | HAP | E77396 | 01 |
| MI | 2787144 | 05 |
| Street Address |
445 N FENWAY DR |
| City | FENTON |
| State | MI |
| Zip Code | 48430-2666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760429450 | Michael John Kirby | Pediatrics | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2006-06-01 |
| 1972036960 | Andrea Wagner | Nurse Practitioner | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2017-04-06 |
| 1316307861 | Pain Management Center of Michigan Plc | Anesthesiology | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2016-02-25 |
| 1407231566 | Lisa Hill | Registered Nurse | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2015-07-29 |
| 1417336421 | Michael D Zerafa Pllc | Family Medicine | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2015-05-22 |
| 1437400579 | Michael David Zerafa | Family Medicine | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2012-09-28 |
| 1144503517 | Zachary King | Anesthesiology | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2011-09-22 |
| 1467747774 | Michael J Kirby Md Plc | Pediatrics | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2011-06-15 |
| 1982877809 | Ann Henley | Nurse Practitioner | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2008-04-11 |
| 1144398934 | Kenneth R Steibel | Family Medicine | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
| 1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
| 1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
| 1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
| 1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
| 1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
| 1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
| Find all providers in zip 48430 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124323597 | Cbm Health Care Inc | Clinic/Center | 14229 Torrey Rd # 2, Fenton, MI 48430-3308 | 2011-01-17 |
| 1699949610 | Fenton Clinic | Clinic/Center | 201 E Caroline St, 129, Fenton, MI 48430-2105 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252458 | Midland Express Urgent and Family Care | Clinic/Center | 600 Cambridge St Ste 1, Midland, MI 48642-4508 | 2020-10-13 |
| 1841805306 | Alex Wagner, LLC | Clinic/Center | 1864 Lakeshore Dr Ste A, Muskegon, MI 49441-1607 | 2020-09-11 |
| 1760013262 | Tranquility Wellness Center | Clinic/Center | 5237 Oakman Blvd Ste B100, Dearborn, MI 48126-4045 | 2020-02-03 |
| 1588295463 | Scheurer Hospital | Clinic/Center | 100 Pigeon Rd Ste C, Bad Axe, MI 48413-8169 | 2020-01-30 |
| 1639718539 | Scheurer Hospital | Clinic/Center | 75 Buschlen Rd, Bad Axe, MI 48413 | 2019-12-26 |
| 1780235465 | Careatc | Clinic/Center | 2221 Health Dr Sw Ste 1500, Grand Rapids, MI 49519-9681 | 2019-09-24 |
| 1821649948 | Hope Primary Care of Birch Run Pllc | Clinic/Center | 9143 Birh Run Rd, Ste 3, Birch Run, MI 48415 | 2019-09-20 |
| 1609425180 | Wafa A Elhassan Md Pllc | Clinic/Center | 1905 S Haggerty Rd, Canton, MI 48188-2025 | 2019-09-08 |
| 1861966244 | Progressive Care Medical Group of Mi, Pllc | Clinic/Center | 734 Starkweather Drive, Lansing, MI 48917-1128 | 2019-01-18 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
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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.