| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CELESTE K. FELLNER | 1295718120 | 2022-12-04 |
Celeste Fellner [F] graduated in 1988 from Kent State University College Of Podiatric Medicine and primarily specializes in Podiatry.
Celeste K. Fellner is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295718120. Registration indicates Celeste K. Fellner is a provider of services with a specialization in Foot & Ankle Surgery (Podiatrist) (Podiatric Medicine & Surgery Service Providers, Podiatrist) (Podiatrist: Foot & Ankle Surgery, ) (Podiatry, ) (Podiatrist Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers) (Podiatrist, )
| PECOS ID | 4082764261 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:N |
| Entity Type | Individual |
| Provider Name | Dr. Celeste K. Fellner MD |
| Practice Office Address | 3035 HAMILTON MASON RD STE 105 FAIRFIELD TOWNS, OH US |
| Practice Office Telephone | 5138448585 |
| Practice Office Fax | 5138448769 |
| Mailing Address | 32743 23 MILE RD STE 210 CHESTERFIELD, MI 480472176 US |
| Business Telephone | 7084243201 |
| Business Fax | 7084245001 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1260 Nilles Rd Bldg A1 | Fairfield, OH 450147221 | 5138448585 / 5138448769 |
| 5300 Socialville Foster Rd Suite 160 | Mason, OH 45040 | 5138448585 / 5138448769 |
| Code | Practice | License No State |
|---|---|---|
| 213ES0103X PRIMARY | Foot & Ankle Surgery (Podiatrist), Podiatric Medicine & Surgery Service Providers Podiatrist Podiatrist: Foot & Ankle Surgery Podiatry Podiatrist Foot & Ankle Surgery Podiatric Medicine & Surgery Service Providers Podiatrist | 36002642F
OH |