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

Jordan B. Fenlon, MD

Individual provider Radiation Oncology Physician · NPI 1104386580

Jordan B. Fenlon, MD is a Radiation Oncology in Salt Lake City, Utah. Graduated from Western Michigan Un Homer Stryker School of Med in 2019, 7 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
7
Trained at
Western Michigan Un Homer Stryker School of Med
Licensed in
UT
In the registry since
2019
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

1950 Circle Of Hope Dr Rm 1570
Salt Lake City, UT 84112-5500
Phone: (801) 581-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 11899051-1205 (UT)

Record details

NPI number1104386580
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolWESTERN MICHIGAN UN HOMER STRYKER SCHOOL OF MED
Graduated 2019 (7 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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