SUSAN K. FENN DPM NPI 1578608873

NPI Information

NPI: 1578608873
Provider Name: SUSAN K. FENN, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

Address:
2741 DEBARR RD
SUITE C-315
ANCHORAGE, AK
ZIP 99508
Phone: (907) 562-4958
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Susan K. Fenn, DPM is a primary podiatric medicine podiatrist in Anchorage, AK. Susan K. Fenn, DPM NPI is 1578608873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2741 DEBARR RD
SUITE C-315
ANCHORAGE, AK
ZIP 99508-953
Phone: (907) 562-4958

The enumeration date for this NPI number is 2/21/2007 and was last updated on 7/9/2007.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	AA3070	ALASKA	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	T67014	MEDICARE UPIN	ALASKA
2	PD3070	MEDICAID	ALASKA
3	0000SGBHJ	MEDICARE ID-TYPE UNSPECIFIED	ALASKA	MEDICARE

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: 11/14/2023

NPI Synchronization or Removal

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