John E. Fellow in San Diego - Sports Medicine
John E. Fellow - NPI 1497857460
John E. Fellow is a Sports Medicine in San Diego, California. John E. Fellow practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for John E. Fellow is 1497857460. The last update date is 2009-06-25.
John E. Fellow's current location address is 15025 Innovation Dr, San Diego, California. You can contact this provider via phone number 8586057960. The mailing address for John E. Fellow is 15025 Innovation Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John E. Fellow |
|---|---|
| Address | 15025 Innovation Dr, San Diego, California |
| Phone Number | 8586057960 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497857460 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2009-06-25 |
Provider Mailing Address Detail
| Address | 15025 Innovation Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921283409 |
| Phone Number | 8586057960 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | G60559 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G605590 | CA | -- |
Post Comment/ Review Below
What is the John E. Fellow's unique identification number?
The John E. Fellow has been assigned the NPI (National Provider Identifier) Number 1497857460 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where John E. Fellow is geographically located?
The John E. Fellow is physically situated at the following location: 15025 Innovation Dr, San Diego, CA, 921283409.
What is John E. Fellow's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John E. Fellow is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.
On what date was the 1497857460 assigned to John E. Fellow?
The John E. Fellow was issued its 1497857460 on 2006-09-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to John E. Fellow most recently updated or revised?
The information pertaining to John E. Fellow, including its address, specialty, and other relevant details, was last updated or revised on 2009-06-25.