Active NPI
Harold Alan Fenster, MD
- Trauma Surgery Physician
- Grand Junction, CO
National Provider Identifier
1689669657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 2007034231
- Practice address
- 2630 H 3/4 Rd
Grand Junction, CO 81506-1708 - Phone
- (970) 210-8374
- NPI assigned
- Sep 15, 2005
- 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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 43196 | CO | |
| Surgery Physician | 208600000X | 0101031242 | VA | |
| Surgery Physician | 208600000X | 32706 | WA | |
| Trauma Surgery Physician | 2086S0127X | 2007034231 | MO | Primary |
| Surgery Physician | 208600000X | ME101176 | FL | |
| Surgery Physician | 208600000X | MD27245 | OR | |
| Surgery Physician | 208600000X | MD2006-0680 | NM | |
| Surgery Physician | 208600000X | M-10254 | ID | |
| Surgery Physician | 208600000X | 13283 | NH | |
| Surgery Physician | 208600000X | MD12439 | RI | |
| Surgery Physician | 208600000X | 7764A | WY | |
| Surgery Physician | 208600000X | 11670 | MT |
Addresses
Primary practice location
2630 H 3/4 Rd
Grand Junction, CO 81506-1708
Mailing address
2630 H 3/4 Rd
Grand Junction, CO 81506-1708
Phone (970) 210-8374
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1127305299 | Other | MO | BNDD |
| CS00212339 | Other | NM | STATE CONTROLLED SUBSTANCE REGISTRATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43196 | CO | MD | Surgery Physician |
| ME101176 | FL | MD | Surgery Physician |
| M-10254 | ID | MD | Surgery Physician |
| 11670 | MT | MD | Surgery Physician |
| 13283 | NH | MD | Surgery Physician |
| MD2006-0680 | NM | MD | Surgery Physician |
| MD27245 | OR | MD | Surgery Physician |
| MD12439 | RI | MD | Surgery Physician |
| 0101031242 | VA | MD | Surgery Physician |
| 32706 | WA | MD | Surgery Physician |
| 7764A | WY | MD | Surgery Physician |
| 2007034231 | MO | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Gallup Indian Medical Center | Past | Accepting new patients | |
| Harold a. Fenster, MD, PC | Surgery | Past | Accepting new patients |
| Poplar Bluff Hma Physician Management, LLC | Surgery | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
1712 Pioneer Ave
Cheyenne, WY 82001
Phone (307) 222-0371
Organizations & group practices 4
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.
-
- Surgery Physician
- Grand Junction, CO
- NPI 1083713960
-
- General Practice Physician
- Dallas, TX
- NPI 1689158487
-
- Federal Public Health Clinic/Center
- Tohatchi, NM
- NPI 1902875594
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1598710147
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1689669657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 H 3/4 RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815061708",
"telephone_number": "970-210-8374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 H 3/4 RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815061708",
"telephone_number": "970-210-8374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENSTER",
"first_name": "HAROLD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "43196",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101031242",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "32706",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MO",
"license": "2007034231",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME101176",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD27245",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "MD2006-0680",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": "M-10254",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NH",
"license": "13283",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "RI",
"license": "MD12439",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WY",
"license": "7764A",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MT",
"license": "11670",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNDD",
"identifier": "1127305299",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CONTROLLED SUBSTANCE REGISTRATION",
"identifier": "CS00212339",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.