Dan F Fennell, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MD16604 Issued in OR

Practice address

555 Black Oak Dr
Suite 300
Medford, OR 97504-8447

Phone

(541) 494-2000

Fax

(541) 494-2002

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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.

• Overland, Ordal, & Thorson Pulmonary Consultants PC

  • Pulmonary Disease Physician
  • Medford, OR
  • NPI 1174572317
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1922134287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 EAST BARNETT RD",
            "address_2": "SUITE H",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048383",
            "telephone_number": "541-789-5250",
            "fax_number": "541-789-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BLACK OAK DR",
            "address_2": "SUITE 300",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048447",
            "telephone_number": "541-494-2000",
            "fax_number": "541-494-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "DAN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "MD16604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009634",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roseanne M Federico, RDHEF
• Martha Dale Feil
• Helene Feiner, OT
• Michael Fekete
• Evelyn Mann Fellows, M.S.
• Michael S Fennell, M.D.
• Kirsten Ferguson, SLP
• Lydia Kate Ferguson, RDH, EPP
• Olivia Marie Ferguson
• Fern Gardens Memory Care LLC

• Pulmonary Disease Physician in Medford, OR
• Providers in Medford, OR by specialty
• Pulmonary Disease Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.