Dr. James A Fenno
Emergency Physician Emergency Medical Services Pediatric Emergency Physician
1061 Harmon Ave Ste 1d03
Fort Stewart
, Georgia 31314-5641
Dr. James A Fenno
Emergency Physician Emergency Medical Services Pediatric Emergency Physician
1061 Harmon Ave Ste 1d03
Fort Stewart
, Georgia 31314-5641
(912) 435-6965
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. James A Fenno
- 1061 Harmon Ave Ste 1d03
- Fort Stewart, GA
- Zip : 31314-5641
- Phone : (912) 435-6965
Second Address
- Dr. James A Fenno
- 1061 Harmon Ave Ste 1d03
- Fort Stewart, GA
- Zip : 31314-5641
- Phone : (912) 435-6965
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 41926 | WI |
| N | 207PE0004X | Emergency Medical Services | 41926 | WI |
| N | 207PP0204X | Pediatric Emergency Physician | 41926 | WI |
National Provider Identifier
| NPI | 1609824002 |
|---|---|
| Provider Name | Dr. James A Fenno |
| First Address | Fort Stewart, GA 31314-5641 |
| Second Address | Fort Stewart, GA 31314-5641 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2006 |
| Last Update Date | 01/04/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 286970500 | (05) | MN |
| 32634400 | (05) | WI |
| H09153 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.