Walter R. Fenning, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD00020794 Issued in WA

Practice address

21601 76TH Ave W
Edmonds, WA 98026-7507

Phone

(425) 640-4000

Fax

(206) 672-0211

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Edmonds Anesthesia Associates Inc PS

  • Anesthesiology Physician
  • Edmonds, WA
  • NPI 1578511267
  NPD (past)
• Pacific Anesthesia PC

  • Anesthesiology Physician
  • Tacoma, WA
  • NPI 1497796452
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1891749248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 FORT UNION BLVD STE 119",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216994",
            "telephone_number": "866-910-6157",
            "fax_number": "801-733-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21601 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267507",
            "telephone_number": "425-640-4000",
            "fax_number": "206-672-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNING",
        "first_name": "WALTER",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00020794",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD00020794",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8543100",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert R Faucher, D.D.S., M.S.D.
• Louise Favier
• Barbara R Fayette, PA C
• Dana L. Feaver, DPT
• Allison Rushing Feldt, DPT
• Andrea Ference, MD
• Melinda Ferguson, CD (DONA), PCD (DONA
• Heather Fielden
• Deborah McCaughan Fields, LMHC
• Katherine Ivy Figel, RD

• Anesthesiology Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.