SCOTT J FAIRBAIRN (NPI# 1174553747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174553747 |
| Entity Type | Individual |
| Full Name | SCOTT J FAIRBAIRN |
| Credential | M.D. |
| Practice Address |
3366 Oakdale Ave N Suite 315 Robbinsdale MN 55422-2948 |
| Practice Telephone | 7635877900 |
| Practice Fax Number | 7635877989 |
| Mailing Telephone | 7635877900 |
| Mailing Fax Number | 7635877989 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
36278 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 072563300 | 05 |
| Street Address |
3366 OAKDALE AVE N SUITE 315 |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746513 | Jennifer A Flaherty | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2005-11-08 |
| 1164954020 | Brianna Kay Randall | Physician Assistant | 3366 Oakdale Ave N, Ste 104, Robbinsdale, MN 55422-2948 | 2017-03-30 |
| 1699228999 | Matthew Idle | Dentist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2016-08-03 |
| 1598135287 | Kelly Lynn Vanderheyden | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2015-10-07 |
| 1134599038 | Kari Ann Gabrielse | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2015-10-05 |
| 1346621919 | Anna E Marjan | Surgery | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2015-06-09 |
| 1982008413 | Amanda Lynn Solyntjes | Specialist/Technologist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2014-10-13 |
| 1417351941 | Rachael Jensen | Specialist/Technologist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2014-10-13 |
| 1801205984 | Travis Wayne Urbatch | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2014-08-04 |
| 1609217769 | Rita Ann Anderson | Nurse Practitioner | 3366 Oakdale Ave N, Suite 551, Robbinsdale, MN 55422-2948 | 2013-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245269612 | Nicholas J Schneeman | Family Medicine | 3366 Oakdale Ave N, Suite 315, Robbinsdale, MN 55422-2948 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942766423 | Moments Palliative Care LLC | Family Medicine | 820 Lilac Dr N Ste 210, Golden Valley, MN 55422-4754 | 2019-02-20 |
| 1588137640 | Wayforth Clinical Services LLC | Family Medicine | 401 Harding St Ne Ste 200, Minneapolis, MN 55413-2801 | 2019-01-10 |
| 1891174751 | Hra-iq PC | Family Medicine | 4600 W 77th St, #355, Edina, MN 55435-4909 | 2015-05-26 |
| 1477943421 | Optum Medical Services of Colorado, P.C. | Family Medicine | 13625 Technology Dr, Eden Prairie, MN 55344-2252 | 2015-01-29 |
| 1811139264 | Charles D Townes | Family Medicine | 16 Meadow Ln S, Minneapolis, MN 55416-3403 | 2009-04-01 |
| 1447203187 | Ruth O Szajner | Family Medicine | 701 Park Ave # S5, Minneapolis, MN 55415-1623 | 2006-05-17 |
| 1093702235 | Asma Khalid | Family Medicine | 621 S 4th St, Le Sueur, MN 56058-2203 | 2005-10-03 |
| 1750917985 | Marisa L Felker | Family Medicine | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2020-03-19 |
| 1588028161 | Joshua M Baruth | Family Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-08 |
| 1528458486 | Optum Medical Services of California, P.C. | Family Medicine | 13625 Technology Dr, Eden Prairie, MN 55344-2252 | 2015-01-30 |
| Find all providers with the same taxonomy | ||||
| City | ROBBINSDALE |
| Zip Code | 55422 |
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| 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.