Individual provider Active NPI

Harold Alan Fenster, MD

  • Trauma Surgery Physician
  • Grand Junction, CO
National Provider Identifier
1689669657
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
2007034231 Issued in MO
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1127305299OtherMOBNDD
CS00212339OtherNMSTATE 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
Green means eligible to order or refer.

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43196COMDSurgery Physician
ME101176FLMDSurgery Physician
M-10254IDMDSurgery Physician
11670MTMDSurgery Physician
13283NHMDSurgery Physician
MD2006-0680NMMDSurgery Physician
MD27245ORMDSurgery Physician
MD12439RIMDSurgery Physician
0101031242VAMDSurgery Physician
32706WAMDSurgery Physician
7764AWYMDSurgery Physician
2007034231MOMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Nov 3, 2024 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center Past Accepting new patients
Harold a. Fenster, MD, PC Surgery PastSince Oct 15, 2005 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.

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

Verify at the official NPI Registry.