Stephen Fairchild (NPI# 1912974361, PAC ID# 7214956838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1912974361 |
| PAC ID by PECOS | 7214956838 |
| Professional Enrollment ID | I20051114000369 |
| Full Name | Stephen Fairchild |
| Organization Legal Name | MT OLIVE FAMILY MEDICINE CENTER INC |
| Address |
201 N Breazeale Ave Mount Olive NC 28365-1603 |
| Phone Number | 9196584954 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1983 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3870547227 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340010 | WAYNE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 N Breazeale Ave, Mount Olive, NC 28365-1603 | 9196584954 | MT OLIVE FAMILY MEDICINE CENTER INC |
| Organization Legal Name | MT OLIVE FAMILY MEDICINE CENTER INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip W Moye | Emergency Medicine | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Jeffrey G Harrison | Physician Assistant | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Meghan S Brown | Nurse Practitioner | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Peggie R Parks | Physician Assistant | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Robert K Talton | Family Medicine | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Thomas S Draughon | Family Medicine | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Vincent Paul Wilson | Family Medicine | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Kimberly Ann Schnurbusch | Nurse Practitioner | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Street Address |
201 N BREAZEALE AVE |
| City | MOUNT OLIVE |
| State | NC |
| Zip | 28365-1603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip W Moye | Emergency Medicine | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Jeffrey G Harrison | Physician Assistant | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Meghan S Brown | Nurse Practitioner | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Peggie R Parks | Physician Assistant | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Robert K Talton | Family Medicine | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Thomas S Draughon | Family Medicine | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Vincent Paul Wilson | Family Medicine | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Kimberly Ann Schnurbusch | Nurse Practitioner | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine F Noonan | Clinical Social Worker | Bass Counseling Services, Inc. | 1010 N Breazeale Ave, Suite C, Mount Olive, NC 28365-1106 |
| Dawn Foss Knowles | Clinical Social Worker | Bass Counseling Services, Inc. | 1010 N Breazeale Ave, Suite C, Mount Olive, NC 28365-1106 |
| Ellen Brubeck Brogden | Family Medicine | 1140 N Breazeale Ave, Mount Olive, NC 28365-1121 | |
| Jo Ann Todd | Optometry | 1122 N Breazeale Ave, Mount Olive, NC 28365-1121 | |
| Massoud Motamed | Chiropractic | 515 W Main St, Mt Olive, NC 28365-1903 | |
| Michael A Livengood | Physical Therapy | 232 Smith Chapel Rd, Mount Olive, NC 28365-1917 |
| City | MOUNT OLIVE |
| Zip Code | 28365 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MOUNT OLIVE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stephen Fairchild.
| 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.