Paul E Fenn Jr., M.D.

Primary specialty

Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X

License

MD.200825 Issued in LA

Practice address

105 Patriot Ave
Suite 101
Lafayette, LA 70508

Phone

(337) 534-0653

Fax

(337) 534-0658

NPI assigned

Jul 18, 2006

Last updated

Jun 7, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Specialty

Orthopedic Surgery

Education

Harvard Medical School, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Reconstructive Sub-Specialists LLCGroup PAC ID 7416024633, 2 clinicians

Hawkeye Medical, LLCGroup PAC ID 9032254685, 33 clinicians

CLHG-Avoyelles LLCGroup PAC ID 8921380528, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
• Lafayette Surgical Specialty Hospital Hospital, Lafayette, LA, CCN 190259
• Avoyelles Hospital Hospital, Marksville, LA, CCN 190099

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paul.fenn.1@16696.direct.athenahealth.com
• Direct secure messaging: paul.fenn.1@30808.direct.athenahealth.com

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.

• Orthopaedic Reconstructive Sub-Specialists LLC

  • Clinic/Center
  • Opelousas, LA
  • NPI 1255596490
  Medicare reassignment Care Compare group Authorized official
• CLHG-Avoyelles LLC

  • General Acute Care Hospital
  • Marksville, LA
  • NPI 1639618853
  Medicare reassignment Care Compare group NPD
• Hawkeye Medical, LLC

  • Hospitalist Physician
  • Marksville, LA
  • NPI 1952630360
  Medicare reassignment Care Compare group NPD
• Orthopaedic Reconstructive Sub-Specialists, LLC

  • Clinic/Center
  • Lafayette, LA
  • NPI 1821433087
  NPD (past) Authorized official
• CLHG-Avoyelles LLC

  dba Cottonport Family Care Center

  • Family Medicine Physician
  • Cottonport, LA
  • NPI 1063211944
  NPD
• Orthopaedic and Sports Medicine Specialist

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Alexandria, LA
  • NPI 1861593436
  NPD (past)

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

• CLHG-Avoyelles, LLC

  dba Avoyelles Hospital

  • General Acute Care Hospital
  • Marksville, LA
  • NPI 1053358176
  Care Compare affiliation
• Lafayette Surgical Hospital LLC

  dba Lafayette Surgical Specialty Hospital

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1134222565
  Care Compare affiliation
• Lafayette Surgical Hospital, LLC

  dba Lafayette Surgical Specialty Hospital

  • Specialist
  • Lafayette, LA
  • NPI 1255736492

  Hospital

  Care Compare affiliation
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1720006687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PATRIOT AVE",
            "address_2": "SUITE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088520",
            "telephone_number": "337-534-0653",
            "fax_number": "337-534-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PATRIOT AVE",
            "address_2": "SUITE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-534-0653",
            "fax_number": "337-534-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENN",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "LA",
            "license": "MD.200825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Ann Felder, LCSW
• Gabrielle Felix
• Melissa Felix
• Robert Keen Fell, M.D.
• Sophelia Felton
• Claudia J Fergus, LPC
• Michael Gray Ferguson, DDS, MD
• Jeanne Elizabeth Fernandez, RAC
• Jessica Fernandez
• Marc Fernandez, MD

• Orthopaedic Foot and Ankle Surgery Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Orthopaedic Foot and Ankle Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.