Molly M. Fenwick, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

81226 Issued in TX

Practice address

540 W 5TH St Ste 410
Odessa, TX 79761-5067

Phone

(432) 640-6360

Fax

(432) 640-4759

NPI assigned

Jul 11, 2007

Last updated

May 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shea ClinicGroup PAC ID 3971525635, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.26 of 100Reported as group

Quality

89.71

Improvement activities

40

Cost

77.91

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shea Clinic

  • Specialist
  • Memphis, TN
  • NPI 1568427128
  Medicare reassignment Care Compare group NPD
• Shea Clinic

  dba Shea Clinic, ASC

  • Ambulatory Surgical Clinic/Center
  • Memphis, TN
  • NPI 1760447015
  NPD
• Raphael E Nwojo MD PA

  dba West Texas Ear, Nose, Throat and Sinus Institute

  • Otolaryngology Physician
  • Odessa, TX
  • NPI 1831654045
  NPD (past)
• Ear, Nose & Throat Group, Inc

  • Specialist
  • Memphis, TN
  • NPI 1073569281
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1184823023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 UNION AVENUE EXT STE 801",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124416",
            "telephone_number": "901-726-0044",
            "fax_number": "901-726-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST STE 410",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615067",
            "telephone_number": "432-640-6360",
            "fax_number": "432-640-4759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9245 Poplar Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381387907",
            "country_code": "US",
            "telephone_number": "901-759-9157",
            "fax_number": "901-726-0858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2670 Union Avenue Ext Ste 801",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381124416",
            "country_code": "US",
            "telephone_number": "901-726-0044",
            "fax_number": "901-726-0858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENWICK",
        "first_name": "MOLLY",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1409",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry C Feeler, PT
• Michael Evan Feeser, O.D.
• Cynthia Felizardo, PA-C, ATC
• Ty Felton
• Faith Femi-Ogunyemi
• Tracy A Fergerson, M.S., CCC-SLP
• Glori Elizebeth Ferguson, N.P.
• Alexandra R Fierro, PA-C
• Eric Matthew Fierro, D.C.
• Graciela Fierro

• Audiologist in Odessa, TX
• Providers in Odessa, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.