FAIRFIELD MEDICAL ASSOCIATES, PC (NPI# 1609959188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609959188 |
Entity Type | Organization |
Organization Name | FAIRFIELD MEDICAL ASSOCIATES, PC |
Practice Address |
33 Red Hill Rd Fairfield VA 24435-0405 |
Mailing Address |
Po Box 405 33 Red Hill Road Fairfield VA 24435-0405 |
Practice Telephone | 5403772156 |
Practice Fax Number | 5403779476 |
Mailing Telephone | 5403772156 |
Mailing Fax Number | 5403779476 |
Enumeration Date | 2006-10-20 |
Last Update Date | 2011-05-13 |
Authorized Official Name | DR. THOMAS STUART PECK (OWNER) |
Authorized Official Telephone | 5403772156 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
VA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 7610025 | 05 |
Street Address |
33 RED HILL RD |
City | FAIRFIELD |
State | VA |
Zip Code | 24435-0405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871557181 | Thomas Stuart Peck | Family Medicine | 33 Red Hill Rd, Fairfield, VA 24435-2137 | 2006-04-13 |
1497838973 | Mary E Downey | Physician Assistant | 33 Red Hill Rd, Fairfield, VA 24435-0405 | 2006-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265677637 | Family Preservation Services, Inc | Community/Behavioral Health | 20 Fairfield School Rd, Fairfield, VA 24435 | 2008-12-12 |
1811012925 | Donald E Wetsel | Acupuncturist | 5819 N Lee Hwy, Suite 2, Fairfield, VA 24435-2518 | 2007-03-20 |
1649579111 | Trina Topping | Student in an Organized Health Care Education/Training Program | 42 Adair Ln, Fairfield, VA 24435-2608 | 2011-03-22 |
1275760282 | Family Preservation Services, Inc. | Community/Behavioral Health | 1200 Sterrett Rd, Fairfield, VA 24435-2629 | 2009-06-17 |
1194281766 | Sara Rebekah Burns | Behavior Technician | 1200 Sterrett Rd, Fairfield, VA 24435-2629 | 2019-02-19 |
1720571383 | Hannah Dannielle Williams | Behavior Technician | 1200 Sterrett Rd, Fairfield, VA 24435-2629 | 2018-06-08 |
1659862746 | Brenda Arlene Frye | Behavior Technician | 1200 Sterrett Rd, Fairfield, VA 24435-2629 | 2018-05-23 |
1619467420 | Zandra Pleasant | Behavior Technician | 1200 Sterrett Rd, Fairfield, VA 24435-2629 | 2018-05-16 |
1407352990 | Anita F Figgers | Behavior Technician | 1200 Sterrett Rd, Fairfield, VA 24435-2629 | 2018-04-03 |
1609370600 | Debra Marie Wooldridge | Behavior Technician | 1200 Sterrett Rd, Fairfield, VA 24435-2629 | 2018-03-23 |
Find all providers in zip 24435 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1457728008 | Jefferson County Hospital | Clinic/Center | 2000b S Main St, Fairfield, IA 52556-9572 | 2015-08-31 |
1295908853 | Fairfield Memorial Hospital Association | Clinic/Center | 213 Nw 10th St, Suite A, Fairfield, IL 62837-1219 | 2008-04-03 |
1184741175 | Penny Attaway | Clinic/Center | 1411 W Main St, Westport Plaza, Fairfield, IL 62837-2300 | 2007-03-23 |
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1013199322 | Page Memorial Hospital, Inc. | Clinic/Center | 505 Williams Ave, Shenandoah, VA 22849-1263 | 2007-11-28 |
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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.