MEDICARE: DR. JOSHUA SCOTT FENTON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD437151	PA
2	207P00000X	Emergency Medicine Physician	91607	GA
3	207P00000X	Emergency Medicine Physician	49093	TN

General Provider Information

NPI Number	:	1497965974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA SCOTT FENTON M.D.

Provider Business Mailing Address
First Line	:	3431 LAKE POINTE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-8842
Country	:	US
Telephone Number	:	901-748-1880
Fax Number	:

Provider Business Practice Location Address
First Line	:	8950 DUNCAN AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-5803
Country	:	US
Telephone Number	:	878-999-9035
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	05/28/2026

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