Kathleen Anne Fearn, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

022971 Issued in CT

Practice address

150 Sargent Dr
Ste 6
New Haven, CT 06511-6110

Phone

(203) 781-4321

Fax

(203) 781-4329

NPI assigned

Dec 21, 2005

Sex

Female

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

State licenses

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.

• Long Wharf Pediatrics & Adolescent Medicine LLC

  • Pediatrics Physician
  • New Haven, CT
  • NPI 1679605471
  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1982680948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SARGENT DR",
            "address_2": "STE 6",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116110",
            "telephone_number": "203-781-4321",
            "fax_number": "203-781-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SARGENT DR",
            "address_2": "STE 6",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116110",
            "telephone_number": "203-781-4321",
            "fax_number": "203-781-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARN",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "022971",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CT",
            "license": "022971",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001229715",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Kathryn Faxon, PA-C
• Liam J Fay, PA-C
• Louis Fazen, MD, PHD
• Muhammad H Fazili
• David Fealey, MD
• Katherine Jane Feder, MD
• Carolyn M Federici, APRN
• Christian Federici, PHAMD
• Attila Feher, M.D., PH.D.
• Dwain Clark Fehon, PSY.D.

• Pediatrics Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.