Active NPI
John Francis Fendt, AA
- Anesthesiologist Assistant
- Dallas, TX
National Provider Identifier
1821762808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 32698005
- Practice address
- 6606 LBJ Fwy Ste 200
Dallas, TX 75240-6524 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Aug 4, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 116 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiologist Assistant | 367H00000X | 32698005 | TX | Primary |
Addresses
Primary practice location
6606 LBJ Fwy Ste 200
Dallas, TX 75240-6524
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other practice location 1
7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116 | SC | MD | Acupuncturist |
| 32698005 | TX | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients |
Locations
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602
7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Anesthesiology Physician
- Greenville, SC
- NPI 1528465374
Hospital & facility affiliations 47
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seneca, SC
- NPI 1063968196
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1114473212
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1174079271
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1326884982
-
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1336695436
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1366998460
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1396207221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1821762808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6606 LBJ FWY STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406524",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [
{
"address_1": "7 Independence Pt Ste 300",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296154569",
"country_code": "US",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENDT",
"first_name": "JOHN",
"middle_name": "FRANCIS",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-04",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "SC",
"license": "116",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "TX",
"license": "32698005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.