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

Mr. Gary Ross Fennel, PA-C

Individual provider Surgical Physician Assistant · NPI 1295889418

Mr. Gary Ross Fennel, PA-C is a Physician Assistant in Takoma Park, Maryland. Qualified in 1982, 44 years ago. Practices with Adventist Physician Services Inc, a 144-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
44
Licensed in
MD
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7600 Carroll Ave Washington Adventist Hospital
Takoma Park, MD 20912-6367
Phone: (301) 891-7600
Fax: (301) 891-6313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence C0000622 (MD)

Record details

NPI number1295889418
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Adventist Physician Services Inc — 144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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