Michael J Fairfax (NPI# 1518068063, PAC ID# 5092700088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1518068063 |
| PAC ID by PECOS | 5092700088 |
| Professional Enrollment ID | I20050725001057 |
| Full Name | Michael J Fairfax |
| Address |
2451 E Baseline Rd Suite 440 Gilbert AZ 85234-2473 |
| Gender | M |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | RHEUMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030119 | MERCY GILBERT MEDICAL CENTER |
| 030065 | BANNER DESERT MEDICAL CENTER |
| 030088 | BANNER BAYWOOD MEDICAL CENTER |
| 031314 | COBRE VALLEY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2451 E Baseline Rd, Suite 440, Gilbert, AZ 85234-2473 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% |
| Street Address |
2451 E BASELINE RD SUITE 440 |
| City | GILBERT |
| State | AZ |
| Zip | 85234-2473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryce Kendall Garst | Chiropractic | The Well Chiropractic Clinic, LLC | 2451 E Baseline Rd, Suite 450, Gilbert, AZ 85234-2473 |
| Ray Lorenzo Hamilton | Nurse Practitioner | Cleanslate Medical Group of Arizona Pllc | 2451 E Baseline Rd, Suite 430, Gilbert, AZ 85234-2473 |
| W R Horn | Nurse Practitioner | 2451 E Baseline Rd, Suite 425, Gilbert, AZ 85234-2471 | |
| Lorraine M Deibler | Physical Therapy | 2451 E Baseline Rd, Suite 220, Gilbert, AZ 85234-2405 | |
| Eric N Garst | Chiropractic | The Well Chiropractic Clinic, LLC | 2451 E Baseline Rd, Suite 450, Gilbert, AZ 85234-2473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haley Gann | Registered Dietitian Or Nutrition Professional | Eating for Life, LLC | 3820 E Leah Ct, Gilbert, AZ 85234-0013 |
| Aida E Amado | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Michelle Branton | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Ala Eddin Samir Sagar | Pulmonary Disease | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Andrew M Weinberg | Gastroenterology | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Reeshma S Mohammed | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Marwan M Oleiwi | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Tessa Meyer | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Karthik R Donuur | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Rosemary Bloom | Physician Assistant | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Find all physicians in zip 85234 | |||
| City | GILBERT |
| Zip Code | 85234 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | GILBERT + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Michael J Fairfax.
| 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.