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DR. RANDALL CLARK FENTON M.D. NPI 1629077359


NPI Information

NPI: 1629077359
Provider Name: DR. RANDALL CLARK FENTON, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
29 STILES RD
SUITE 301
SALEM, NH
ZIP 03079
Phone: (603) 870-5452
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DR. Randall Clark Fenton, M.D. is a family medicine in Salem, NH with 33 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Randall Clark Fenton, M.D. NPI is 1629077359. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

29 STILES RD
SUITE 301
SALEM, NH
ZIP 03079-802
Phone: (603) 870-5452
Fax: (603) 870-5449

The NPI 1629077359 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.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin a1c level (HCPCS:83036)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 7/15/2005 and was last updated on 2/8/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine9962NEW HAMPSHIREYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1407866OTHERUNIFORMED SERVICES FAMILY
2753299OTHERTUFTS HEALTHPLAN
32637002OTHERAETNA
4J17896OTHERBCBS OF MASSACHUSETTS
50100419YPNH01OTHERANTHEM BCBS NEW HAMPSHIRE
6G48440MEDICARE UPINNEW HAMPSHIRE
766951OTHERCIGNA
8RE4508MEDICARE ID-TYPE UNSPECIFIEDNEW HAMPSHIRE
971838OTHERHARVARD PILGRIM HEALTHCAR

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.