DR. MICHAEL J FAIRFAX (NPI# 1518068063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518068063 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J FAIRFAX |
| Credential | D.O. |
| Practice Address |
2451 E Baseline Rd Suite 440 Gilbert AZ 85234-2471 |
| Practice Telephone | 4808346576 |
| Practice Fax Number | 4808449237 |
| Mailing Telephone | 4808346576 |
| Mailing Fax Number | 4808449237 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
3039 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 426967 | 05 |
| Street Address |
2451 E BASELINE RD SUITE 440 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844006 | Christopher Todd Mayhew | Chiropractor | 2451 E Baseline Rd, Suite 410, Gilbert, AZ 85234-2471 | 2005-07-07 |
| 1821604950 | Tatum Nicole Toribio | Physical Therapy Assistant | 2451 E Baseline Rd, Gilbert, AZ 85234-2471 | 2020-09-23 |
| 1093339731 | Michael Lewis Simmons | Occupational Therapist | 2451 E Baseline Rd, Gilbert, AZ 85234-2471 | 2020-05-28 |
| 1720596828 | Nicole Deopere | Behavioral Analyst | 2451 E Baseline Rd, Gilbert, AZ 85234-2471 | 2018-01-11 |
| 1609311182 | Chanel Elizabeth Wright | Specialist/Technologist | 2451 E Baseline Rd, Gilbert, AZ 85201 | 2016-12-20 |
| 1588114151 | Heart 2 Heart Radian Reflexions Wellness & Aesthetics Center | Reflexologist | 2451 E Baseline Rd, Ste 310, Gilbert, AZ 85234-2471 | 2016-10-07 |
| 1932654274 | Pamela Guard | Acupuncturist | 2451 E Baseline Rd, Suite 310, Gilbert, AZ 85234-2471 | 2016-08-16 |
| 1578017661 | Heart 2 Heart Radiant Reflexions Wellness & Aesthetics Center, LLC | Reflexologist | 2451 E Baseline Rd, Ste 310, Gilbert, AZ 85234-2471 | 2016-08-07 |
| 1811441124 | Stonegate Development, LLC | Clinic/Center | 2451 E Baseline Rd, Suite 240, Gilbert, AZ 85234-2471 | 2016-08-04 |
| 1023466869 | A Broader Approach, L.L.C. | Nutritionist | 2451 E Baseline Rd, Ste 300, Gilbert, AZ 85234-2471 | 2016-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497960926 | Elizabeth Change Md PC | Internal Medicine | 1400 N Gilbert Rd, Suite L, Gilbert, AZ 85234-2328 | 2007-05-10 |
| 1427129964 | East Valley Rheumatology & Osteoporosis, PC | Internal Medicine | 3921 E Baseline Rd, Suite 108, Gilbert, AZ 85234-2727 | 2006-11-13 |
| 1821097585 | Elizabeth Chang | Internal Medicine | 1400 N Gilbert Rd, Suite L, Gilbert, AZ 85234-2328 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633195 | Flow Rheumatology, Pllc | Internal Medicine | 9941 N 95th St Ste E101, Scottsdale, AZ 85258-4609 | 2020-06-14 |
| 1053898692 | Honorhealth Ambulatory | Internal Medicine | 10900 N Scottsdale Rd Ste 603, Scottsdale, AZ 85254-5252 | 2018-07-26 |
| 1780047985 | Arthritis Consultants PC | Internal Medicine | 12665 W Smokey Dr, Suite 140, Surprise, AZ 85378-3703 | 2016-04-04 |
| 1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
| 1043651540 | Rachel Sara Herrin | Internal Medicine | 12665 W. Smokey Dr., #140, Surprise, AZ 85378 | 2013-07-12 |
| 1902154859 | Shubha Kollampare | Internal Medicine | 1501 N Campbell Ave Rm 8303, Tucson, AZ 85724-5093 | 2012-08-27 |
| 1689943318 | Manfred Albrecht | Internal Medicine | 6928 N. Green Mt Place, Tucson, AZ 85718-1315 | 2011-12-27 |
| 1316263825 | Saguaro Specialty Physicians, LLC | Internal Medicine | 4881 E Grant, Suite 201, Tucson, AZ 85712 | 2010-04-09 |
| 1881823219 | Sanford Harold Roth | Internal Medicine | 6831 N 58th Pl, Paradise Valley, AZ 85253-3410 | 2009-07-07 |
| 1275774937 | Dominick George Sudano | Internal Medicine | 1501 N Campbell Ave Rm 6336, Tucson, AZ 85724-0001 | 2009-03-10 |
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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.