Tad Fennar (NPI# 1134151194, PAC ID# 5698890648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1134151194 |
PAC ID by PECOS | 5698890648 |
Professional Enrollment ID | I20100914000527 |
Full Name | Tad Fennar |
Address |
1300 W 6th St Suite 2 San Pedro CA 90732-3531 |
Phone Number | 3108310728 |
Gender | M |
Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
Graduation Year | 1996 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1300 W 6th St, Suite 2, San Pedro, CA 90732-3531 | 3108310728 |
Street Address |
1300 W 6TH ST SUITE 2 |
City | SAN PEDRO |
State | CA |
Zip | 90732-3531 |
Name | Specialty | Organization | Address |
---|---|---|---|
Barry H Tischler | Obstetrics/gynecology | 1300 W 6th St, Suite 1, San Pedro, CA 90732-3531 | |
John A Berkovich | Physical Therapy | 1300 W 6th St, Suite 3, San Pedro, CA 90732-3531 |
Name | Specialty | Organization | Address |
---|---|---|---|
Enrique Santana | Chiropractic | 28122 S Western Ave, San Pedro, CA 90732-1248 | |
Lawrence Marshall | Optometry | 28142 S Western Ave, San Pedro, CA 90732-1248 | |
Lawrence B Greenberg | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
Keri Sharona Hyatt Wardwell | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
Crescenzo Pisano | Internal Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
Patricio Clavecillas | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
Olga M Calof | Endocrinology | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
Terry T Ishihara | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
Aeree Yoon | Internal Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
Andres Jimenez | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
Find all physicians in zip 90732 |
City | SAN PEDRO |
Zip Code | 90732 |
Specialty | PODIATRY |
City + Specialty | SAN PEDRO + PODIATRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.