Active NPI
Timothy Edward Fenlon, MD
- Family Medicine Physician
- Clemson, SC
National Provider Identifier
1437272721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19902
- Practice address
- 344054 McMillan Rd
Clemson University
Clemson, SC 29634-0001 - Phone
- (864) 656-2233
- Fax
- (864) 656-0760
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19902 | SC | Primary |
Addresses
Primary practice location
344054 McMillan Rd
Clemson University
Clemson, SC 29634-0001
Mailing address
10005 Bayview Court
Seneca, SC 29672-9172
Phone (864) 654-4980
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19902 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clemson University | Family Medicine | Past | Accepting new patients |
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": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437272721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10005 BAYVIEW COURT",
"city": "SENECA",
"state": "SC",
"postal_code": "296729172",
"telephone_number": "864-654-4980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344054 MCMILLAN RD",
"address_2": "CLEMSON UNIVERSITY",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296340001",
"telephone_number": "864-656-2233",
"fax_number": "864-656-0760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENLON",
"first_name": "TIMOTHY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "19902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clemson, SC
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- Family Vision of Anderson
- James E Feiste, MD
- Kenneth Ontario Felder, PT, DPT
- Suzanne S Figliola, MS, RD, LD
- Madison Fisher, CCC-SLP
- Yesenia Isabel Fisher
- Foothills Community Health Care, Inc
- Foothills Community Health Care, Inc. (Foothills Clemson Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.