Scott J Fairbairn (NPI# 1174553747, PAC ID# 1951302975) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1174553747 |
PAC ID by PECOS | 1951302975 |
Professional Enrollment ID | I20070118000106 |
Full Name | Scott J Fairbairn |
Organization Legal Name | GERIATRIC SERVICES OF MINNESOTA LLC |
Address |
715 1st N St Cold Spring MN 56320-1497 |
Phone Number | 7635877846 |
Gender | M |
Credential | MD |
Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1987 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 2365667557 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
240001 | NORTH MEMORIAL MEDICAL CENTER |
240053 | PARK NICOLLET METHODIST HOSPITAL |
240063 | ST JOSEPH'S HOSPITAL |
Address | Phone | Organization |
---|---|---|
715 1st N St, Cold Spring, MN 56320-1497 | 7635877846 | GERIATRIC SERVICES OF MINNESOTA LLC |
Organization Legal Name | GERIATRIC SERVICES OF MINNESOTA LLC |
Physicians | 18 |
Name | Specialty | Organization | Address |
---|---|---|---|
Barry J Larson | Geriatric Medicine | Geriatric Services of Minnesota LLC | 604 1st Nest, Forest Lake, MN 55025-1207 |
Karla F Kammueller | Family Practice | Geriatric Services of Minnesota LLC | 715 1st N St, Cold Spring, MN 56320-1497 |
Robert J Helgren | Internal Medicine | Geriatric Services of Minnesota LLC | 5200 Oak Grove N Pkwy, Brooklyn Park, MN 55443-4031 |
Brian J Dixon | Internal Medicine | Geriatric Services of Minnesota LLC | 310 Lake S Blvd, Buffalo, MN 55313-1456 |
Stacie L Straus | Nurse Practitioner | Geriatric Services of Minnesota LLC | 3433 Broadway St Ne, Suite 300, Minneapolis, MN 55413-1761 |
William J Hamilton | Family Medicine | Geriatric Services of Minnesota LLC | 3433 Broadway St Ne, Suite 300, Minneapolis, MN 55413-1761 |
Christa K Hoiland | Family Medicine | Geriatric Services of Minnesota LLC | 3433 Broadway St Ne, Suite 300, Minneapolis, MN 55413-1761 |
Samantha J Giffrow | Nurse Practitioner | Geriatric Services of Minnesota LLC | 3433 Broadway St Ne, Suite 300, Minneapolis, MN 55413-1761 |
Shannon M Mooney | Nurse Practitioner | Geriatric Services of Minnesota LLC | 3433 Broadway St Ne, Suite 300, Minneapolis, MN 55413-1761 |
Sandra J Turbes | Family Medicine | Geriatric Services of Minnesota LLC | 3433 Broadway St Ne, Suite 300, Minneapolis, MN 55413-1761 |
Street Address |
715 1ST N ST |
City | COLD SPRING |
State | MN |
Zip | 56320-1497 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karla F Kammueller | Family Practice | Geriatric Services of Minnesota LLC | 715 1st N St, Cold Spring, MN 56320-1497 |
Nicholas J Schneeman | Family Practice | Geriatric Services of Minnesota LLC | 715 1st N St, Cold Spring, MN 56320-1497 |
Elizabeth R Kearney | Internal Medicine | Geriatric Services of Minnesota LLC | 715 1st N St, Cold Spring, MN 56320-1497 |
Thomas K Pettus | Geriatric Medicine | Geriatric Services of Minnesota LLC | 715 1st N St, Cold Spring, MN 56320-1497 |
George E Schoephoerster | Geriatric Medicine | Geriatric Services of Minnesota LLC | 715 1st N St, Cold Spring, MN 56320-1497 |
Douglas J Watkins | Family Practice | Geriatric Services of Minnesota LLC | 715 1st N St, Cold Spring, MN 56320-1497 |
Name | Specialty | Organization | Address |
---|---|---|---|
Julie R Humbert | Clinical Social Worker | 1302 4th S St, Cold Spring, MN 56320 | |
Frank T Barnaby | Family Medicine | Centracare Clinic | 402 Red River Ave N, Suite 2, Cold Spring, MN 56320-1523 |
Charles A Kinzer | Chiropractic | 402 Red River Ave No, Suite 3, Cold Spring, MN 56320-1523 | |
Lori A Edlund | Nurse Practitioner | Centracare Clinic | 402 Red River Ave N, Suite 2, Cold Spring, MN 56320-1523 |
David G Dahl | Chiropractic | 406 Main St, Cold Spring, MN 56320-2324 | |
Mary J Femrite | Optometry | 308 5th Ave S, Cold Spring, MN 56320-2341 | |
Robert Sartoris | Optometry | Cold Spring Eye Clinic Pa | 219 Main St, Cold Spring, MN 56320-2532 |
Christopher J Wenner | Family Medicine | Christopher J Wenner M.d., P.a. | 218 Main St, Cold Spring, MN 56320-2533 |
Kristin Ann Hess | Chiropractic | 216 Main St, Cold Spring, MN 56320-2533 | |
Tyler Peternell | Chiropractic | 24 3rd S Ave, Suite 4, Cold Spring, MN 56320-2587 | |
Find all physicians in zip 56320 |
City | COLD SPRING |
Zip Code | 56320 |
Specialty | FAMILY PRACTICE |
City + Specialty | COLD SPRING + FAMILY PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.