Active NPI
Adam Paul Fenton, PA
- Medical Physician Assistant
- Utica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 020935-1
- Practice address
- 2211 Genesee St Ste 200
Utica, NY 13501-5930 - Phone
- (315) 733-7598
- Fax
- (315) 733-7694
- NPI assigned
- Jul 11, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
NY
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
NY
-
- Podiatrist
- Oneida, NY
- NPI 1356869838
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oneida Medical Practice PC
Practice addresses (Care Compare)
301 Genesee St
Oneida, NY 13421-2644
301 Genesee St-Attn Neurology
Suite C
Oneida, NY 13421-2644
Phone (315) 361-2377
357 Genesee St
Suite 2
Oneida, NY 13421-2658
Phone (315) 363-4651
Hospital & facility affiliations
- Oneida Health Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170920003885 | NY | Practitioner - Physician Assistant | 9830463454 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020935-1 | NY | MD | Occupational Therapist |
| 020935 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneida Medical Practice, PC | Current | Accepting new patients |
Locations
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
301 Genesee St
Ste C
Oneida, NY 13421
Phone (315) 361-2377
Interoperability endpoints
- afenton@ompohc.medentdirect.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 020935 | NY | |
| Medical Physician Assistant | 363AM0700X | 020935-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2211 Genesee St Ste 200
Utica, NY 13501-5930
Mailing address
2211 Genesee St Ste 200
Utica, NY 13501-5930
Phone (315) 733-7598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1497277537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 GENESEE ST STE 200",
"city": "UTICA",
"state": "NY",
"postal_code": "135015930",
"telephone_number": "315-733-7598",
"fax_number": "315-733-7694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 GENESEE ST STE 200",
"city": "UTICA",
"state": "NY",
"postal_code": "135015930",
"telephone_number": "315-733-7598",
"fax_number": "315-733-7694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENTON",
"first_name": "ADAM",
"middle_name": "PAUL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "020935",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "020935-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.