Fennell Medical Services, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21526 Issued in AL

Legal business name

FENNELL MEDICAL SERVICES, LLC

Practice address

701 Princeton Ave SW
Birmingham, AL 35211-1303

Phone

(205) 785-4811

Fax

(205) 785-4810

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ricky Fennell, M.D.NPI 1689618357

Title

President

Phone

(205) 785-4811

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ricky L Fennell, MD

  • Cardiovascular Disease Physician
  • Birmingham, AL
  • NPI 1689618357
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083730519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "FAIRFIELD",
            "state": "AL",
            "postal_code": "350640070",
            "telephone_number": "205-785-4811",
            "fax_number": "205-785-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111303",
            "telephone_number": "205-785-4811",
            "fax_number": "205-785-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENNELL MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FENNELL",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-785-4811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "21526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim-Ngan P Fellman, MD
• Fellowship House, Inc.
• Sheila Renae Fells, CRNP
• Elizabeth Hope Felsinger, RN
• April Marie Felton, ARNP
• Ricky L Fennell, MD
• Andrea Fenton
• Caroline Elizabeth Ferguson
• Charles Baron Ferguson, CRNA
• Courtney Ferguson, CRNA

• Internal Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.