Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL JAMES FENNELL II, PA-C

Active

MR. MICHAEL JAMES FENNELL II, PA-C is a Physician Assistant healthcare provider located in ORCHARD PARK, New York. NPI 1023765708 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ORCHARD PARK, NY

Registration Details

NPI Number: 1023765708
Provider Type: Individual
Gender: Male
NPI Issued: Mar 3, 2022 (4.4517720931512 yrs)
Last Updated: Mar 3, 2022
License: 028057-01 (NY)

Practice Information

Address: 3055 SOUTHWESTERN BLVD STE 100

ORCHARD PARK, NY, 141271231
Browse NY providers · Browse ZIP 14127
Phone: 7166752500
Primary Specialty: Physician Assistant
363A00000X

Other Physician Assistant Providers in ORCHARD PARK, NY

Name	Credential	NPI
MRS. MARY PATRICIA CANNA	PA	1952395956
EMILY E GOTTSTEIN	RPAC	1720065485
MR. JAMES PAUL REW	PA	1932171659
JOSIE SISSON	P.A.	1811961485
MS. SUSAN M. PETERSON	P.A.	1538123088
MRS. HEATHER ANDRZEJEWSKI	RPA-C	1972568434

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.