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DR. MICHAEL M FANOUS D.P.M. INC. NPI 1639115454


NPI Information

NPI: 1639115454
Provider Name: DR. MICHAEL M FANOUS, D.P.M. , INC.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
15366 11TH ST STE D
VICTORVILLE, CA
ZIP 92395
Phone: (760) 951-1238
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DR. Michael M Fanous, D.p.m. , Inc. is a foot and ankle surgery podiatrist in Victorville, CA with 37 years of experience. DR. Michael M Fanous, D.p.m. , Inc. NPI is 1639115454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1987

The provider's business location address is:

15366 11TH ST STE D
VICTORVILLE, CA
ZIP 92395-726
Phone: (760) 951-1238
Fax: (760) 951-1473

The NPI 1639115454 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).

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.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)

The enumeration date for this NPI number is 6/21/2006 and was last updated on 8/20/2019.


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
1213ES0103XPodiatristFoot & Ankle SurgeryE3544CALIFORNIAYes

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

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