Individual provider Active NPI

Celeste K. Fellner, MD

  • Foot & Ankle Surgery Podiatrist
  • Fairfield Township, OH
National Provider Identifier
1295718120
Registry record updated Dec 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36002642F Issued in OH
Practice address
3035 Hamilton Mason Rd Ste 105
Fairfield Township, OH 45011-5545
Phone
(513) 844-8585
Fax
(513) 844-8769
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36002642F OH Primary

Addresses

Primary practice location

3035 Hamilton Mason Rd Ste 105
Fairfield Township, OH 45011-5545

Mailing address

32743 23 Mile Rd Ste 210
Chesterfield, MI 48047-2176
Phone (708) 424-3201

Other practice location 1

5300 Socialville Foster Rd
Suite 160
Mason, OH 45040
Phone (513) 844-8585

Other practice location 2

1260 Nilles Rd Bldg A1
Fairfield, OH 45014-7221
Phone (513) 844-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36002642FOHMDFoot & Ankle Surgery Podiatrist
2642OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Foot & Ankle Care LLC Foot & Ankle Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: celleste.fellner@cffaacl-oh.direct.office.nextgen.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670112000000",
    "number": "1295718120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32743 23 MILE RD STE 210",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480472176",
            "telephone_number": "708-424-3201",
            "fax_number": "708-424-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 HAMILTON MASON RD STE 105",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450115545",
            "telephone_number": "513-844-8585",
            "fax_number": "513-844-8769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 Socialville Foster Rd",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "45040",
            "country_code": "US",
            "telephone_number": "513-844-8585",
            "fax_number": "513-844-8769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1260 Nilles Rd Bldg A1",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450147221",
            "country_code": "US",
            "telephone_number": "513-844-8585",
            "fax_number": "513-844-8769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLNER",
        "first_name": "CELESTE",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002642F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; 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.