Individual provider Active NPI

Charles Norris Fennie, DO

  • Surgery Physician
  • Zanesville, OH
National Provider Identifier
1619478336
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34.016670 Issued in OH
Practice address
2916 Vangader Dr
Zanesville, OH 43701-1744
Phone
(740) 453-0661
NPI assigned
Feb 27, 2018
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34.016670 OH Primary

Addresses

Primary practice location

2916 Vangader Dr
Zanesville, OH 43701-1744

Mailing address

2916 Vangader Dr
Zanesville, OH 43701-1744
Phone (740) 453-0661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230714000998 OH Practitioner - General Surgery 7517214448 Reassigns benefits to 2 organizations
I20250519002667 IN Practitioner - General Surgery 7517214448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Healthcare LLCGroup PAC ID 0244123362, 62 clinicians

Practice addresses (Care Compare)

1345 Unity PL
Lafayette, IN 47905-5761

3900 St Francis Way
Suite 201
Lafayette, IN 47905-4925
Phone (765) 400-0204

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.01 of 100Reported as group
Quality
78.82
Promoting interoperability
100
Improvement activities
40
Cost
84.55

Merit-based Incentive Payment System (MIPS)

Final score
55.23 of 100Reported as group
Quality
21.8
Promoting interoperability
100
Improvement activities
0
Cost
74.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.016670OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Aug 1, 2024 Accepting new patients
Unity Healthcare LLC CurrentSince May 15, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2024 Accepting new patients
Unity Healthcare, LLC Current Accepting new patients
Ameriwound LLC CurrentSince Nov 5, 2024 Accepting new patients
Unity Healthcare, LLC Surgery CurrentSince May 15, 2025 Accepting new patients
Unity Healthcare LLC Past Accepting new patients

Locations

1345 Unity Pl
Ste 235
Lafayette, IN 47905
Phone (765) 446-5065

3900 St Francis Way
Ste 201
Lafayette, IN 47905
Phone (765) 400-0204

14095 E Center St
Burton, OH 44021
Phone (440) 834-1084

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

50 Old Village Rd
Columbus, OH 43228
Phone (614) 294-6283

740 Canonby Pl
Columbus, OH 43223
Phone (440) 385-4377

Dept L3652
Columbus, OH 43260

957 Becks Knob Rd
Lancaster, OH 43130
Phone (740) 653-9481

Interoperability endpoints

  • Direct secure messaging: charlesfennie@idx.allscriptsdirect.net

Organizations & group practices 7

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1619478336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 VANGADER DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011744",
            "telephone_number": "740-453-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 VANGADER DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011744",
            "telephone_number": "740-453-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNIE",
        "first_name": "CHARLES",
        "middle_name": "NORRIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-27",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.016670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.