SCOTT T FAIRHURST


Address: 5454 Hohman Ave, Hammond, IN 46320-1931
Phone: 2199322300

SCOTT T FAIRHURST (NPI# 1073086252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073086252
Entity Type Individual
Full Name SCOTT T FAIRHURST
Practice Address 5454 Hohman Ave
Hammond
IN 46320-1931
Mailing Address 1040 Sierra Dr Ste 400
Greenwood
IN 46143-7241
Practice Telephone 2199322300
Practice Fax Number 2198522502
Mailing Telephone 3178658133
Mailing Fax Number 3178598239
Enumeration Date 2019-01-10
Last Update Date 2019-01-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
71008681A IN Physician Assistants & Advanced Practice Nursing Providers

Other Providers SCOTT FAIRHURST

NPI Name Taxonomy Address Enumeration
1831232412 Scott Kennedy Fairhurst Psychologist 902 S Myrtle Ave, Monrovia, CA 91016-3427 2007-02-14

Office Location

Street Address 5454 HOHMAN AVE
City HAMMOND
State IN
Zip Code 46320-1931

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144225491 Franciscan Health Dyer & Hammond Home Health 5454 Hohman Ave, Hammond, IN 46320-1931 2005-06-14
1518587310 Kristen Brady Pharmacist 5454 Hohman Ave, Hammond, IN 46320-1931 2020-04-21
1932738093 Oluwayomi Olalekan Omosebi Physical Therapist 5454 Hohman Ave, Hammond, IN 46320-1931 2020-04-02
1760012231 Jacob Latham Pharmacist 5454 Hohman Ave, Hammond, IN 46320-1931 2020-01-23
1861033060 Erica Lynn Deenihan Nurse Practitioner 5454 Hohman Ave, Hammond, IN 46320-1931 2019-09-30
1568015394 Danielle Rose Balzano Registered Nurse 5454 Hohman Ave, Hammond, IN 46320-1931 2019-07-21
1386104826 Daniela Lazarevic Student in an Organized Health Care Education/Training Program 5454 Hohman Ave, Hammond, IN 46320-1931 2019-03-21
1629533872 Thomas Blodgett Nurse Practitioner 5454 Hohman Ave, Hammond, IN 46320-1931 2019-02-01
1053848622 Eshwar Nagraj Murthy Hospitalist 5454 Hohman Ave, Hammond, IN 46320-1931 2017-05-15
1598110876 Jonathon Zinkel Emergency Medicine 5454 Hohman Ave, Hammond, IN 46320-1931 2016-04-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225501356 Miyako S Streeter Nurse Practitioner 31 Sibley St Ste A, Hammond, IN 46320 2019-01-11
1700397478 Prairie Healthcare Services LLC Home Health 5920 Hohman Av, Hammond, IN 46320 2017-10-20
1881143469 Taryn Petty Nurse Practitioner 31 Sibley St, Hammond, IN 46320 2016-09-23
1407108079 Lakeside Behavioral Solutions Community/Behavioral Health 5944 1/2 Hohman Ave., Hammond, IN 46320 2012-10-08
1609098607 Martha Socorro Kozub Nurse Practitioner 5514 Hohman Ave., Hammond, IN 46320 2007-05-02
1851414379 A&k Kouklakis Od. P.C. Eyewear Supplier (Equipment, not the service) 1303 165th Street, Hammond, IN 46320 2007-04-09
1639278138 Syed Sohail Ahmed Psychiatry & Neurology 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 2006-09-21
1215990965 Trc - Indiana LLC Clinic/Center 222 Douglas St, Hammond, IN 46320 2006-04-11
1700845260 Deepak Ariga Internal Medicine 5529 Hohman Avenue, Hammond, IN 46320 2006-03-22
1609869130 Cathleen M Mcgovern Emergency Medicine 5454 S Hohman Ave, Hammond, IN 46320 2005-08-30
Find all providers in zip 46320

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578189544 Tiffany Burrowes Nurse Practitioner 41137 James Robert Dr, Hammond, LA 70403-7520 2020-06-24
1366074403 Elizabeth M Norman Nurse Practitioner 19065 Dr John Lambert Drive, Hammond, LA 70403 2020-02-06
1265078166 Michelle Antoinette Wilson Nurse Practitioner 45001 Tanglewood Dr, Hammond, LA 70401-4442 2019-11-26
1508327735 Naina Chhokar Nurse Practitioner 6933 Kennedy Ave Ste C, Hammond, IN 46323-2210 2019-03-29
1225501356 Miyako S Streeter Nurse Practitioner 31 Sibley St Ste A, Hammond, IN 46320 2019-01-11
1881143469 Taryn Petty Nurse Practitioner 31 Sibley St, Hammond, IN 46320 2016-09-23
1154797132 Sharon Hughes Nurse Practitioner 2511 Hwy. 190 E, Hammond, LA 70401 2015-08-13
1407128598 Family Health Care and Wellness Center Nurse Practitioner 2511 Highway 190 E, Hammond, LA 70401-8510 2012-02-03
1205124310 Letarsha Roulette Campbell Nurse Practitioner 1402 S Magnolia St, Suite A, Hammond, LA 70403-5020 2011-07-11
1881992568 Pauline E Burrall Nurse Practitioner 15770 Paul Vega Md Dr Ste 104, Hammond, LA 70403-1475 2011-03-04
Find all providers in HAMMOND

Competitor

Search similar providers

City HAMMOND
Zip Code 46320

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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