DR. STEPHANIE L. FENLON (NPI# 1922036136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922036136 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE L. FENLON |
| Credential | D.O. |
| Practice Address |
4211 Van Dyke Rd Ste 101b Lutz FL 33558-8005 |
| Mailing Address |
Po Box 10744 Clearwater FL 33757-8744 |
| Practice Telephone | 8139604026 |
| Practice Fax Number | 8134438166 |
| Mailing Telephone | 7275320002 |
| Mailing Fax Number | 7272664943 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS7315 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 261670000 | 05 |
| Street Address |
4211 VAN DYKE RD STE 101B |
| City | LUTZ |
| State | FL |
| Zip Code | 33558-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710549738 | Allyson Catheryn Barnes | Family Medicine | 4211 Van Dyke Rd Ste 101b, Lutz, FL 33558-8005 | 2019-06-29 |
| 1104485713 | Celsey Jae Gurley | Family Medicine | 4211 Van Dyke Rd Ste 101b, Lutz, FL 33558-8005 | 2019-06-07 |
| 1477900983 | Eisel Montero Montes De Oca | Nurse Practitioner | 4211 Van Dyke Rd Ste 101b, Lutz, FL 33558-8005 | 2016-05-16 |
| 1780003764 | Swasha Dione Fields | Family Medicine | 4211 Van Dyke Rd Ste 101b, Lutz, FL 33558-8005 | 2014-04-07 |
| 1477985885 | Zeina Takieddine | Internal Medicine | 4211 Van Dyke Rd Ste 101b, Lutz, FL 33558-8005 | 2013-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
| 1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
| 1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
| 1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
| 1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
| 1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
| 1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
| Find all providers in zip 33558 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801350608 | Jungsil K Cusimano Md, Inc. | Internal Medicine | 18842 N Dale Mabry Hwy, Lutz, FL 33548-4978 | 2019-01-25 |
| 1033598826 | Aviraj Saund | Internal Medicine | 26606 Magnolia Blvd, Lutz, FL 33559-8545 | 2015-05-26 |
| 1205214764 | Daniel A Bainbridge | Internal Medicine | 2005 Curry Rd, Lutz, FL 33549-3706 | 2015-05-15 |
| 1053751966 | Omar Cardenas, Md Pa | Internal Medicine | 2101 Curry Rd, Lutz, FL 33549-3716 | 2013-06-25 |
| 1861734824 | Sunshine Primary Care LLC | Internal Medicine | 17921 Hunting Bow Cir, Suite 101, Lutz, FL 33558-5379 | 2013-03-17 |
| 1629396718 | Matthew Acton Do Pllc | Internal Medicine | 17523 Dale Mabry Hwy N, Lutz, FL 33548-4521 | 2010-05-13 |
| 1356517395 | Assem Sherieh | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2008-04-30 |
| 1073696902 | Barbara Pacholec | Internal Medicine | 24622 State Road 54, Lutz, FL 33559-7307 | 2006-10-23 |
| 1467541953 | Kevin J. Makati | Internal Medicine | 4211 Van Dyke Road, Suite 205, Lutz, FL 33558 | 2006-10-12 |
| 1417061656 | Alan R Singer | Internal Medicine | 17511 N Dale Mabry Hwy, Lutz, FL 33548-4521 | 2006-08-17 |
| Find all providers in LUTZ | ||||
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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.