DR. GEORGE E FAHY III (NPI# 1578586798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578586798 |
| Entity Type | Individual |
| Full Name | DR. GEORGE E FAHY III |
| Credential | M.D. |
| Practice Address |
2004 Medical Center Dr Bay Minette AL 36507-4163 |
| Practice Telephone | 2519372380 |
| Practice Fax Number | 2519377841 |
| Mailing Telephone | 2519372380 |
| Mailing Fax Number | 2519377841 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
24689 | AL | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
24699 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD RETIRE PROV NUMB | 160059682 | 01 | |
| AL | 009994760 | 05 | |
| AL | BCBS PROVIDER NUMBER | 51510969 | 01 |
| CHAMPUS PROVIDER NUMBER | 630438739007 | 01 |
| Street Address |
2004 MEDICAL CENTER DR |
| City | BAY MINETTE |
| State | AL |
| Zip Code | 36507-4163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841581824 | Imc-north Baldwin Internal Medicine LLC | Internal Medicine | 2004 Medical Center Dr, Suite 2, Bay Minette, AL 36507-4163 | 2011-04-26 |
| 1477851764 | David B. Fuller, D.o., P.C. | Family Medicine | 2004 Medical Center Dr, Bay Minette, AL 36507-4163 | 2011-03-10 |
| 1760717870 | Gulf Health Hospitals, Inc. | Obstetrics & Gynecology | 2004 Medical Center Dr, Bay Minette, AL 36507-4163 | 2009-10-07 |
| 1679732408 | Rebecca Mae Sweet | Internal Medicine | 2004 Medical Center Dr, Ste. 2, Bay Minette, AL 36507-4163 | 2008-06-06 |
| 1396805461 | North Baldwin Pediatrics LLC | Clinic/Center | 2004 Medical Center Dr, Bay Minette, AL 36507-4163 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639728132 | Antea Grace Nicole Lefebvre | Occupational Therapist | William F. Green State Veterans Home, 300 Faulkner Drive, Bay Minette, AL 36507 | 2019-09-06 |
| 1629343280 | Parmer Family Chiropractic LLC | Clinic/Center | 830 Dolive St, Bay Minette, AL 36507 | 2012-03-15 |
| 1134436108 | Shirley F Hatton | Counselor | 1509 Us Hwy 31 South, Bay Minette, AL 36507 | 2010-09-10 |
| 1205155330 | Bay Minette Physical Therapy Services | Physical Therapist | 1512 South Highway 31, Bay Minette, AL 36507 | 2010-05-28 |
| 1952598724 | Brannon Parmer | Chiropractor | 830 D'olive Street, Bay Minette, AL 36507 | 2007-09-26 |
| 1861426454 | Travis Paul Md PC | Surgery | 2002 Hand Ave, Bay Minette, AL 36507 | 2006-07-10 |
| 1538199161 | Grover Travis Paul | Surgery | 2002 Hand Avenue, Bay Minette, AL 36507 | 2006-07-03 |
| 1932156577 | Honey Getubig | Pediatrics | 200 Mcmillan Avenue, Bay Minette, AL 36507 | 2006-05-28 |
| 1023085669 | Thomasina Anderson-sharpe | Family Medicine | 108 Mc Means Ave. Ste C, Bay Minette, AL 36507 | 2006-03-02 |
| 1760032510 | Clinton L Davis | Nurse Practitioner | 1815 Hand Ave, Bay Minette, AL 36507 | 2019-09-13 |
| Find all providers in zip 36507 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639117526 | Charles R. Hanes II | Obstetrics & Gynecology | 1601 Center St Ste 3s, Mobile, AL 36604-1541 | 2006-06-03 |
| 1356700298 | Urogynecology Center of Huntsville, P.C. | Obstetrics & Gynecology | 204 Lowe Ave Se, Building 1, Suite 2, Huntsville, AL 35801-4262 | 2016-02-21 |
| 1932223526 | Robert C Brown | Obstetrics & Gynecology | 7540 Cipriano Ct, Suite C, Fairhope, AL 36532-3029 | 2007-03-19 |
| City | BAY MINETTE |
| Zip Code | 36507 |
Please comment or provide details below to improve the information on DR. GEORGE E FAHY III.
| 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.