Fenton E Froom, M.D.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

ME36200 Issued in FL

Practice address

1503 W Oak St
Kissimmee, FL 34741-4065

Phone

(800) 330-1984

Fax

(407) 847-5137

NPI assigned

Oct 2, 2006

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 FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Rose Radiology Centers, LLC

  • Radiology Clinic/Center
  • Brandon, FL
  • NPI 1629162904
  Medicare reassignment NPD
• Elite Imaging, LLC

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851484067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9007 SHAWN PARK PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194830",
            "telephone_number": "407-909-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414065",
            "telephone_number": "800-330-1984",
            "fax_number": "407-847-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROOM",
        "first_name": "FENTON",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "ME36200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna Freytes, OTR/L
• Orquidea Frias, PHARMD
• Frienda ABA
• Martin Fries
• Jean Ann Fritz, ARNP
• FS Elite Transportation LLC
• FST Behavioral
• FST Behavioral
• Helmut Franz Fuchs, MD
• Reidaly Fuenmayor Chacin

• Radiology Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.