Julie Smith Fennig, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

35084116 Issued in OH

Practice address

1775 Delco Park Dr
Kettering, OH 45420-1398

Phone

(937) 299-2339

Fax

(937) 299-3850

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: julie.fennig@ohpi.eclinicaldirectplus.com

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.

• Ohio Pediatrics, Inc.

  • Pediatrics Physician
  • Kettering, OH
  • NPI 1619090750
  NPD (past)
• Ohio Pediatrics, Inc.

  • Pediatrics Physician
  • Vandalia, OH
  • NPI 1699921932
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1679659890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 DELCO PARK DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201398",
            "telephone_number": "937-299-2339",
            "fax_number": "937-299-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 DELCO PARK DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201398",
            "telephone_number": "937-299-2339",
            "fax_number": "937-299-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNIG",
        "first_name": "JULIE",
        "middle_name": "SMITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OH",
            "license": "35084116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2552133",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2603570",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000368948",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7399698",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shahzad Rahim Farukhi, MD
• Raymond Fasano
• Huda Fatima, MD
• Aaron Kyle Faucett, ATC
• John F Fellrath III, DDS
• Alexandra Maria Ferguson, MD
• Fernando a. Villarreal, M.D., Inc.
• Brent Alan Ferroni, CRNA
• Christian Fesko, PHARMD, BCPS
• Laura Marissa Field, M.D.

• Pediatric Adolescent Medicine Physician in Kettering, OH
• Providers in Kettering, OH by specialty
• Pediatric Adolescent Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.