DOUGLAS FENTON MD NPI 1558352633

NPI Information

  • NPI: 1558352633
  • Provider Name: DOUGLAS FENTON, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4500 SAN PABLO RD S
    JACKSONVILLE, FL
    ZIP 32224
  • Phone: (904) 953-2000

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NPI Details

Douglas Fenton, MD is a diagnostic radiology radiology in Jacksonville, FL with 36 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Douglas Fenton, MD NPI is 1558352633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224-865
Phone: (904) 953-2000

The NPI 1558352633 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
  • Computed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast (HCPCS:0042T)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Mri scan of blood vessels of neck before and after contrast (HCPCS:70549)
  • Mri scan of blood vessels of head before and after contrast (HCPCS:70546)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of middle spine without contrast (HCPCS:72128)

The enumeration date for this NPI number is 10/29/2005 and was last updated on 9/1/2020.

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
12085R0202XRadiologyDiagnostic RadiologyME69892FLORIDAYes

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: 11/21/2025

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