Dr. T. Fellenbaum M.D. & OB/GYN Associates, P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301056913 Issued in MI

Legal business name

DR. T. FELLENBAUM M.D. & OB/GYN ASSOCIATES, P.C.

Doing business as

Flint OBGYN
Mid-Michigan Vulvar Care and Colposcopy Center

Practice address

3500 Calkins Rd
Flint, MI 48532-3500

Phone

(810) 733-8200

Fax

(810) 221-1751

NPI assigned

May 16, 2008

Organization subpart

Yes

Parent organization

DR. T FELLENBAUM M.D. AND OB/GYN ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Mr. Donovan Miske

Title

Office Manager

Phone

(810) 733-8200

Specialties & licenses 1

Addresses

Other identifiers 17

Other names 2

• Flint OBGYN Doing business as
• Mid-Michigan Vulvar Care and Colposcopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Part of

Dr T Fellenbaum OBGYN PC

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore L. Fellenbaum, M.D.

  • Obstetrics & Gynecology Physician
  • Flint, MI
  • NPI 1366457848
  Medicare reassignment
• Jessica L Laforest, MD

  • Obstetrics & Gynecology Physician
  • Owosso, MI
  • NPI 1437378767
  Medicare reassignment
• Alexey A Levashkevich, MD

  • Obstetrics Physician
  • Flint, MI
  • NPI 1124140405
  Medicare reassignment

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1316114549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 CALKINS RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323500",
            "telephone_number": "810-733-8200",
            "fax_number": "810-221-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CALKINS RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323500",
            "telephone_number": "810-733-8200",
            "fax_number": "810-221-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. T. FELLENBAUM M.D. & OB/GYN ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. T FELLENBAUM M.D. AND OB/GYN ASSOCIATES",
        "enumeration_date": "2008-05-16",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MISKE",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-733-8200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301056913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK (BCN) BLUE CHOICE",
            "identifier": "1602513951",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MICHIGAN (HGH) MEDICAID",
            "identifier": "1606365292",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN PPO TRUST",
            "identifier": "1602513951",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MICHIGAN MEDICARE",
            "identifier": "1606365292",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENESEE HEALTH PLAN (GHP)",
            "identifier": "1606365292",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MICHIGAN",
            "identifier": "15289",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK (BCN) MEDICARE ADVANTAGE",
            "identifier": "1602513951",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK (BCN) COMMERCIAL",
            "identifier": "1602513951",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN (HAP) COMMERCIAL",
            "identifier": "F24353",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MICHIGAN COMMERCIAL",
            "identifier": "1606365292",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN (HAP) PHP",
            "identifier": "F24353",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES",
            "identifier": "123042",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "1366457848",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN ADVANTAGE",
            "identifier": "1602513951",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MICHIGAN PPO",
            "identifier": "1606365292",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL",
            "identifier": "1602513951",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK (BCN) BLUE PREFERRED PLUS",
            "identifier": "1602513951",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flint OBGYN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid-Michigan Vulvar Care and Colposcopy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid-Michigan Vulvar Care and Colposcopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Franklin L Gordon D.D.S Ms Ms PC
• Dr. Michael T. Owczarzak, P.C.
• Dr. Rabbi Salimi, P.C.
• Dr. Robert a. Davis
• Dr. Sierra Cuthpert DO
• Dr.Ramesh Chheda P.C.
• Chips Drake
• Bonnie Draper
• Melanie Gail Drendall, RN
• Christina Drenth, OTR

• Obstetrics & Gynecology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.