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

Jeffrey Richard Fenwick, MD

Individual provider Otolaryngology Physician · NPI 1306846407

Jeffrey Richard Fenwick, MD is an Otolaryngology in Springfield, Missouri. Graduated from Harvard Medical School in 1985, 41 years ago. Licensed in Missouri and South Carolina.

Years since qualifying
41
Trained at
Harvard Medical School
Licensed in
MO, SC
In the registry since
2005
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

960 E Walnut Lawn St Ste 102
Springfield, MO 65807-7506
Phone: (417) 875-3600
Fax: (417) 875-3612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 2005041177 (MO)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 15294 (SC)

Record details

NPI number1306846407
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2005
Last updated in NPPESDecember 27, 2018

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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