Fenton Family Medicine, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

KS051250 Issued in MI

Legal business name

FENTON FAMILY MEDICINE, P.C.

Practice address

445 N Fenway Dr
Fenton, MI 48430-2666

Phone

(810) 750-6060

Fax

(810) 750-6081

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth R Steibel, M.D.NPI 1144398934

Title

President

Phone

(810) 750-6060

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth R Steibel, M.D.

  • Family Medicine Physician
  • Fenton, MI
  • NPI 1144398934
  Medicare reassignment Care Compare group NPD Authorized official
• Ann Henley, CNP

  • Nurse Practitioner
  • Fenton, MI
  • NPI 1982877809
  Medicare reassignment Care Compare group NPD
• Jennifer McGee, FNP

  • Family Nurse Practitioner
  • Fenton, MI
  • NPI 1386353522
  Medicare reassignment Care Compare group NPD
• Angela Lynn White, FNP-BC

  • Family Nurse Practitioner
  • Flint, MI
  • NPI 1255611083
  Medicare reassignment Care Compare group NPD
• Lisa Hill, NP

  • Family Nurse Practitioner
  • Fenton, MI
  • NPI 1407231566
  Medicare reassignment NPD
• Christopher Weston Cenzer, DO

  • Family Medicine Physician
  • Fenton, MI
  • NPI 1093383895
  NPD
• Nathan Allen Quaderer, DO

  • Family Medicine Physician
  • Grand Blanc, MI
  • NPI 1760971451
  NPD
• Jason Streff, DO

  • Family Medicine Physician
  • Grand Blanc, MI
  • NPI 1477043297
  NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720198039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N FENWAY DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302666",
            "telephone_number": "810-750-6060",
            "fax_number": "810-750-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N FENWAY DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302666",
            "telephone_number": "810-750-6060",
            "fax_number": "810-750-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENTON FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEIBEL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-750-6060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "KS051250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "080B56203",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "2509644012",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C3137",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2787144",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0B56203",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "E77396",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fenton Behavioral Health Services
• Fenton Clinic
• Fenton Family Dental PLLC
• Fenton Family Dentistry
• Fenton Family Dentistry PLLC
• Fenton Healthcare LLC
• Fenton Late Hours Clinic
• Fenton Late Hours Clinic II PC
• Fenton Late Hours Clinic PC
• Fenton Massage Company

• Primary Care Clinic/Center in Fenton, MI
• Providers in Fenton, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.