Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edward Patrick Fenlon III, MD

Individual provider Diagnostic Radiology Physician · NPI 1760827513

Dr. Edward Patrick Fenlon III, MD is a Diagnostic Radiology in Philadelphia, Pennsylvania. Graduated from Georgetown University School of Medicine in 2012, 14 years ago. Practices with Northwest Medical Foundation of Tillamook, a 80-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Pennsylvania.

Years since qualifying
14
Trained at
Georgetown University School of Medicine
Licensed in
OR, PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Spruce St
Philadelphia, PA 19104-4206
Phone: (215) 662-3264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 N Gantenbein Ave, Portland, OR 97227 — (503) 413-4032

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD214095 (OR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MT203888 (PA)

Record details

NPI number1760827513
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2013
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Northwest Medical Foundation Of Tillamook — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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