DR. JEFFREY A FEARON M.D.F.A.C.S. NPI 1538113592

NPI Information

NPI: 1538113592
Provider Name: DR. JEFFREY A FEARON, M.D.,F.A.C.S.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
7777 FOREST LN STE C700
DALLAS, TX
ZIP 75230
Phone: (972) 566-6464
Get Directions

DR. Jeffrey A Fearon, M.D.,F.A.C.S. is a plastic and reconstructive surgery surgery in Dallas, TX with 43 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Jeffrey A Fearon, M.D.,F.A.C.S. NPI is 1538113592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:1981

The provider's business location address is:

7777 FOREST LN STE C700
DALLAS, TX
ZIP 75230-518
Phone: (972) 566-6464
Fax: (972) 566-6279

The NPI 1538113592 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 2/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	H8638	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5542707	OTHER	TEXAS	AETNA
2	1921297	MEDICAID	LOUISIANA
3	8F5212	OTHER	TEXAS	MEDICARE INDIVIDUAL PTAN
4	100753300A	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA	OKLAHOMA MEDICAID
5	91863803	MEDICAID	COLORADO
6	093725201	MEDICAID	TEXAS
7	3858	MEDICAID	TEXAS
8	208847509	MEDICAID	MISSOURI
9	000E1668	MEDICAID	MINNESOTA
10	86J892	OTHER	TEXAS	BC/BS PROVIDER ID NUMBER
11	118956502	MEDICAID	TEXAS
12	118956501	MEDICAID	TEXAS
13	0722264	OTHER	IOWA	IOWA MEDICAID
14	00X682	OTHER	TEXAS	MEDICARE GROUP PTAN
15	A58854	MEDICARE UPIN	TEXAS
16	10010045	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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