Active NPI
Douglas David Fien, F.N.P.
- Family Nurse Practitioner
- Penfield, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F333353
- Practice address
- 1835 Fairport Nine Mile Point Rd
Ste 100
Penfield, NY 14526-1903 - Phone
- (585) 758-0777
- Fax
- (585) 388-9079
- NPI assigned
- Mar 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 333353 | NY | |
| Family Nurse Practitioner | 363LF0000X | F333353 | NY | Primary |
Addresses
Primary practice location
1835 Fairport Nine Mile Point Rd
Ste 100
Penfield, NY 14526-1903
Mailing address
1835 Fairport Nine Mile Point Rd
Ste 100
Penfield, NY 14526-1903
Phone (585) 758-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03452513 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dfien109645@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | dfien109645@direct.urmc.rochester.edu | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333353 | NY | MD | Family Nurse Practitioner |
| F333353 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| University of Rochester Urgent Care | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| University of Rochester | Past | Accepting new patients |
Locations
1835 Fairport Nine Mile Point Rd
Ste 100
Penfield, NY 14526
Phone (585) 758-0777
2134 Penfield Rd
Penfield, NY 14526
Phone (585) 276-8280
1835 Fairport Nine Mile Point Rd
Penfield, NY 14526
Phone (585) 341-4000
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- Urgent Care Clinic/Center
- Rochester, NY
- NPI 1700260395
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1821152588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1700915386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 FAIRPORT NINE MILE POINT RD",
"address_2": "STE 100",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261903",
"telephone_number": "585-758-0777",
"fax_number": "585-334-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 FAIRPORT NINE MILE POINT RD",
"address_2": "STE 100",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261903",
"telephone_number": "585-758-0777",
"fax_number": "585-388-9079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIEN",
"first_name": "DOUGLAS",
"middle_name": "DAVID",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "333353",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F333353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03452513",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dfien109645@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dfien109645@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.