Fenner, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FENNER, INC

Doing business as

DBA: SPECIALTY PROSTHETICS & ORTHOTICS TECHNOLOGIES

Practice address

2019 W Broadway St
Muskogee, OK 74401-2759

Phone

(918) 537-2001

Fax

(918) 537-2139

NPI assigned

Feb 1, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Michael O Fenner, CPO

Title

President

Phone

(918) 832-7768

Specialties & licenses 1

Addresses

Other names 1

• DBA: SPECIALTY PROSTHETICS & ORTHOTICS TECHNOLOGIES Doing business as

Locations

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1265970040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012759",
            "telephone_number": "918-537-2001",
            "fax_number": "918-537-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012759",
            "telephone_number": "918-537-2001",
            "fax_number": "918-537-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENNER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "FENNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-832-7768",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: SPECIALTY PROSTHETICS & ORTHOTICS TECHNOLOGIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Fast, M.D.
• Fasttrack Medical, LLC
• John Fell, DO
• Chantel Fennell
• Rachella Fennell
• Justin Maxwell Visitacion Fernan, RRT-ACCS
• Maximo Lebumfacil Fernan Jr., MD
• Virginia Lynn Fernandez, RN
• Amber Fewell, LCSW
• Makala Field, RN

• Prosthetic/Orthotic Supplier in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Prosthetic/Orthotic Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.