Thomas J Feneran, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA04035600 Issued in NJ

Practice address

610 Eleuthera Dr
Punta Gorda, FL 33950-5881

Phone

(732) 267-2774

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1316907603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BEACON AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502471",
            "telephone_number": "609-597-1991",
            "fax_number": "609-597-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 ELEUTHERA DR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505881",
            "telephone_number": "732-267-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENERAN",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA04035600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3131602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Home Medical Equipment & Supplies, LLC
• Daniel Edward Farris, R.PH.
• Kenneth S Feder, DC
• Joan W Fell
• Keith Fendelander
• Luis Miguel Fernandez Araujo
• Yanalay Fernandez Olivero
• Maytee Fernandez Segares
• Ivette M. Fernandez, DMD
• Kerry M Fichthorn, LCSW

• Urology Physician in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.