Fendon Plastic Surgery SC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

036074699 Issued in IL

Legal business name

FENDON PLASTIC SURGERY SC

Practice address

1435 N. Randall Road
Suite 400
Elgin, IL 60123

Phone

(847) 531-6340

Fax

(847) 531-6340

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Thomas H Fendon, M.D.NPI 1225124910

Title

President

Phone

(847) 531-6340

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Thomas H Fendon, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Elgin, IL
  • NPI 1225124910
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1861585390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N. RANDALL ROAD",
            "address_2": "SUITE 400",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "847-531-6340",
            "fax_number": "847-531-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N. RANDALL ROAD",
            "address_2": "SUITE 400",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "847-531-6340",
            "fax_number": "847-531-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENDON PLASTIC SURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "FENDON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-531-6340",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036074699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Antoinette Favors, CRSS, CPRS
• Jenna Feda, OT
• Jamie Feeley, PHARMD
• Felicia Chu D.D.S., P.C.
• Jacqueline Feliciano, CLC
• Thomas H Fendon, M.D.
• Richard T. Fergin
• Sherrie Ann Fernandes, PA-C
• Ernest Ronald Fernandez, L.C.S.W.
• Joseph F Ferstl, DC DABCO

• Plastic and Reconstructive Surgery Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Plastic and Reconstructive Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.