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

Jerry Fenwick, MD

Individual provider Emergency Medicine Physician · NPI 1366477549

Jerry Fenwick, MD is an Emergency Medicine Physician in Springfield, Missouri. Licensed in Missouri and South Carolina. Registered with an NPI since 2006.

Licensed in
MO, SC
In the registry since
2006
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

771 N Summercreek Ct
Springfield, MO 65802-7249
Phone: (417) 771-4548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 110179 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 18407 (SC)

Record details

NPI number1366477549
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing address771 N Summercreek Ct, Springfield, MO 65802-7249

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