JACK FENNEL DO
NPI 1356300271
Family Medicine - Adult Medicine in Fort Leonard Wood, MO
NPI Status: Active since March 20, 2006
Contact Information
126 MISSOURI AVE
FORT LEONARD WOOD, MO
ZIP 65473
Phone: (573) 329-8305
Fax: (573) 329-8302
- Individual
- Male
- Family Medicine
- Adult Medicine
About JACK FENNEL
This page provides the complete NPI Profile along with additional information for Jack Fennel, a primary care provider established in Fort Leonard Wood, Missouri with a medical specialization in Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1356300271 assigned on March 2006. The practitioner's primary taxonomy code is 207QA0505X with license number R9D28 (MO). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1356300271
- Provider Name
- JACK FENNEL DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 126 MISSOURI AVE FORT LEONARD WOOD, MO 65473
- Location Phone
- (573) 329-8305
- Location Fax
- (573) 329-8302
- Mailing Address
- 126 MISSOURI AVE FORT LEONARD WOOD, MO 65473
- Mailing Phone
- (573) 329-8305
- Mailing Fax
- (573) 329-8302
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-20-2006
- Last Update Date
- 09-11-2025
- Code Navigator
A primary care provider (PCP) like Jack Fennel sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Adult Medicine
- Taxonomy Code
- 207QA0505X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R9D28
- License State
- MO
- Taxonomy Description
- The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | R9D28 (MO) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356300271, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356300271, enumerated as an "individual" on March 20, 2006.
The provider is located at 126 MISSOURI AVE FORT LEONARD WOOD, MO 65473 and the phone number is (573) 329-8305.
Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.
