DR. FAIRLEIGH DAVID SMALL (NPI# 1942257621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942257621 |
| Entity Type | Individual |
| Full Name | DR. FAIRLEIGH DAVID SMALL |
| Credential | M.D. |
| Practice Address |
12420 Warwick Blvd Ste 5b Newport News VA 23606-3053 |
| Mailing Address |
20242 Avondale Rd Abingdon VA 24211-6942 |
| Practice Telephone | 7557596636 |
| Practice Fax Number | 7575958167 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2009-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 18823 | WV | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0101043463 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI NUMBER | 1942257621 | 01 | |
| WV | 0046865-000 | 05 |
| Street Address |
12420 WARWICK BLVD STE 5B |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23606-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730385998 | Sarah E. Forbes M.d.,pllc | Clinic/Center | 12420 Warwick Blvd Ste 5b, Newport News, VA 23606-3053 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
| 1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
| 1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
| 1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
| Find all providers in zip 23606 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003045790 | Adrian Dews Sr. | Emergency Medicine | 2 Bernadine Drive, Emergency Dept, Newport News, VA 23602-4499 | 2009-07-02 |
| 1881636702 | Timothy W Hutchison | Emergency Medicine | 12720 Mcmanus Blvd Ste 204, Newport News, VA 23602-4486 | 2006-06-12 |
| 1902882111 | Alan D Creek | Emergency Medicine | 12997 Warwick Blvd, Newport News, VA 23602-8352 | 2005-12-20 |
| 1518344530 | Jason Bavarian | Emergency Medicine | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2015-04-28 |
| 1760878078 | Catherine Shany Agustiady-becker | Emergency Medicine | 2 Bernardine Dr, Newport News, VA 23602 | 2015-04-13 |
| 1841604626 | Kylie Conroy | Emergency Medicine | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2014-06-19 |
| 1598178675 | Timothy Shane Forsythe | Emergency Medicine | 500 J Clyde Morris Blvd, Newport News, VA 23601 | 2014-06-06 |
| 1205255015 | Amanda Gail Polsinelli | Emergency Medicine | 500 J Clyde Morris Blvd Ste A, Newport News, VA 23601 | 2014-04-08 |
| 1831537182 | Daniel Ryan Micheller | Emergency Medicine | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2013-06-10 |
| 1457693509 | Hampton Roads Emergency Physicians Pllc | Emergency Medicine | 2 Bernardine Dr, Suite 204, Newport News, VA 23602-4404 | 2013-03-26 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
Please comment or provide details below to improve the information on DR. FAIRLEIGH DAVID SMALL.
| 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.