FAIRHAVEN FAMILY MEDICINE (NPI# 1215041637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215041637 |
| Entity Type | Organization |
| Organization Name | FAIRHAVEN FAMILY MEDICINE |
| Practice Address |
1030 East Fairhaven Avenue Burlington WA 98233 |
| Mailing Address |
Po Box 468 Burlington WA 98233 |
| Practice Telephone | 3607550311 |
| Practice Fax Number | 3607551272 |
| Mailing Telephone | 3607550311 |
| Mailing Fax Number | 3607551272 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2009-01-07 |
| Authorized Official Name | DR. STEPHEN M ALDRICH (MD) |
| Authorized Official Telephone | 3607550311 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD00013642 | WA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD00023548 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7816200 | 05 | |
| WA | REGENCE BLUE SHIELD | S57930 | 01 |
| Street Address |
1030 EAST FAIRHAVEN AVENUE |
| City | BURLINGTON |
| State | WA |
| Zip Code | 98233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312872 | Ellen Barton | Counselor | Skagit Community Detox, 201 Lila Lane, Burlington, WA 98233 | 2020-06-25 |
| 1134611718 | Steven Anthony Rickards | Hearing Instrument Specialist | 218 Rio Vista Avenue, Burlington, WA 98233 | 2018-05-31 |
| 1770007817 | Laura Ellen Defreese | Health Educator | 11768 Westar Lane, Suite A, Burlington, WA 98233 | 2017-07-31 |
| 1588036339 | Teresa Tweed | Specialist | 121 Spruce Street, Burlington, WA 98233 | 2015-10-20 |
| 1639582950 | Rebecca L Neff | Registered Nurse | 927 E. Fairhaven Ave., Burlington, WA 98233 | 2014-06-04 |
| 1982041356 | Marion Hernon | Dentist | 120 E George Hopper Rd Ste 100, Burlington, WA 98233 | 2013-05-25 |
| 1033450804 | Aaron P Fox | Counselor | 127 E. Fairhaven Ave., Burlington, WA 98233 | 2013-03-04 |
| 1629332895 | North Cascade Pain Management Ps | Anesthesiology | 340 E George Hopper Rd, Suite #1, Burlington, WA 98233 | 2012-07-02 |
| 1356618151 | Sandra L Fletcher | Pharmacist | 1725 S.burlington Boulevard, Burlington, WA 98233 | 2011-11-22 |
| 1528343258 | Andria Anita Bloom | Family Medicine | 1162 S. Burlington Boulevard, Burlington, WA 98233 | 2011-10-13 |
| Find all providers in zip 98233 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447594056 | Armc Physicians Care, Inc. | Family Medicine | 3128 Commerce Pl, Burlington, NC 27215-5157 | 2012-11-20 |
| 1215214374 | Westside Ob/gyn Center, Pa | Family Medicine | 1694 Westbrook Ave, Burlington, NC 27215-9700 | 2011-11-03 |
| 1528343258 | Andria Anita Bloom | Family Medicine | 1162 S. Burlington Boulevard, Burlington, WA 98233 | 2011-10-13 |
| 1851676704 | Urgent Cares of America North Carolina Inc | Family Medicine | 104 Huffman Mill Rd, Burlington, NC 27215-5113 | 2011-10-11 |
| 1235459074 | At Home Physicians, Pllc | Family Medicine | 38 Cliff St, Burlington, VT 05401-4505 | 2010-06-03 |
| 1730342585 | Susan M Tiona | Family Medicine | 49777 County Road V, Burlington, CO 80807-9361 | 2008-07-02 |
| 1316114994 | Rebecca Spoerri-bowman | Family Medicine | 101 Cambridge Street, Suite 380, Burlington, MA 01803-2900 | 2008-05-13 |
| 1588701056 | Jonathan Scott Strenio | Family Medicine | 96 Morrill Dr, Burlington, VT 05408-1112 | 2007-01-31 |
| 1245376300 | Sharon Anne Smith | Family Medicine | 425 Milwaukee Ave, Suite One, Burlington, WI 53105-1230 | 2007-01-29 |
| 1629139829 | John D. Ammon | Family Medicine | 3901 Petersburg Rd, Burlington, KY 41005-8786 | 2006-12-12 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 98233 |
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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.