Active NPI
Jarrett Fenon, DPM, MBA
- Foot & Ankle Surgery Podiatrist
- Pittsburgh, PA
National Provider Identifier
1750177747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1750177747
- Practice address
- 4800 Friendship Ave
Pittsburgh, PA 15224-1722 - Phone
- (610) 392-8136
- NPI assigned
- Apr 16, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1750177747 | PA | Primary |
Addresses
Primary practice location
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Mailing address
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1750177747 | PA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746316800000",
"number": "1750177747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 FRIENDSHIP AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 FRIENDSHIP AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241722",
"telephone_number": "610-392-8136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENON",
"first_name": "JARRETT",
"name_prefix": "Dr.",
"credential": "DPM, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-16",
"last_updated": "2025-05-04",
"certification_date": "2025-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "1750177747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.