Anthony Tyron Fenison (NPI# 1407954654, PAC ID# 9830090620) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1407954654 |
| PAC ID by PECOS | 9830090620 |
| Professional Enrollment ID | I20050805000295 |
| Full Name | Anthony Tyron Fenison |
| Organization Legal Name | ANTHONY T. FENISON MD INC |
| Address |
155 W Hospitality Ln Suite 105 San Bernardino CA 92408-3317 |
| Phone Number | 9098882210 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2769508829 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050327 | LOMA LINDA UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 23100 Eucalyptus Ave, Moreno Valley, CA 92553-5439 | 9519244700 | ANTHONY T. FENISON MD INC |
| 155 W Hospitality Ln, Suite 105, San Bernardino, CA 92408-3317 | 9098882210 | ANTHONY T. FENISON MD INC |
| Organization Legal Name | ANTHONY T. FENISON MD INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dean L Townsend | Physician Assistant | Anthony T. Fenison Md Inc | 23100 Eucalyptus Ave, Moreno Valley, CA 92553-5439 |
| Street Address |
155 W HOSPITALITY LN SUITE 105 |
| City | SAN BERNARDINO |
| State | CA |
| Zip | 92408-3317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Samano | Family Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Brenda J Boyle | Nurse Practitioner | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Roger D Woodruff | Family Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Alma M Palisoc | Preventative Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Maria Lohr | Family Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Catherine Jl Kelly | Psychologist, Clinical | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Ann D Curtis | Clinical Social Worker | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Jennifer Li | Hospitalist | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Janel L Calinisan | Psychologist, Clinical | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Kevin C Shannon | Family Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Find all physicians in zip 92408 | |||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SAN BERNARDINO + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Anthony Tyron Fenison.
| 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.