DR. GRANT ANDREAS FAIRBANKS (NPI# 1013056357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013056357 |
| Entity Type | Individual |
| Full Name | DR. GRANT ANDREAS FAIRBANKS |
| Credential | MD |
| Practice Address |
1151 East 3900 South Suite #b110 Salt Lake City UT 84124 |
| Mailing Address |
520 Medical Dr 210 Bountiful UT 84010-8903 |
| Practice Telephone | 8012688838 |
| Practice Fax Number | 8012688264 |
| Mailing Telephone | 8017018688 |
| Mailing Fax Number | 8017018689 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2015-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 2744901205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861531105 | Grant R Fairbanks | Plastic Surgery | 1151 E 3900 S, Suite B110, Salt Lake City, UT 84124-1216 | 2007-02-05 |
| Street Address |
1151 EAST 3900 SOUTH SUITE #B110 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014297 | Dennis D. Thoen | Psychiatry & Neurology | 1151 East 3900 South, # B150, Salt Lake City, UT 84124-1216 | 2005-06-22 |
| 1578699039 | Grant R Fairbanks Md PC | Plastic Surgery | 1151 East 3900 South, Suite B110, Salt Lake City, UT 84124 | 2007-02-26 |
| 1720089485 | Cheryl A Farnsworth | Physical Therapist | 1151 East 3900 South, Ste B-240, Salt Lake City, UT 84124 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720320179 | Melody Scheefer Van Boerum | Plastic Surgery | 5445 S Highland Dr, Salt Lake City, UT 84117-7629 | 2013-03-25 |
| 1508156928 | Richard Tyrell | Plastic Surgery | 30 N 1900 E Rm 3b400, Salt Lake City, UT 84132-0002 | 2011-04-19 |
| 1851617815 | Dana Nicole Johns | Plastic Surgery | University of Utah Hospital 50 N Medical Dr, Salt Lake City, UT 84132-0002 | 2010-04-15 |
| 1346426137 | David S Thomas Md PC | Plastic Surgery | 370 Ninth Ave Ste 200, Salt Lake City, UT 84103-3185 | 2008-01-11 |
| 1891840914 | Bradd K Christensen | Plastic Surgery | 1377 E 3900 S Ste 104, Salt Lake City, UT 84124-1492 | 2007-01-25 |
| 1275695546 | Alvin Kwok | Plastic Surgery | 30 N 1900 E # 3b400, Salt Lake City, UT 84132 | 2006-12-14 |
| 1992874358 | David S Motoki | Plastic Surgery | 3980 S 700 E, Suite 23, Salt Lake City, UT 84107-2188 | 2006-11-07 |
| 1821060948 | Louis Morales Jr. | Plastic Surgery | 5089 S 900 E, Suite 100, Salt Lake City, UT 84117-5735 | 2006-02-02 |
| 1255339255 | June S Chen Md PC | Plastic Surgery | 7240 Highland Drive, Suite 175, Salt Lake City, UT 84121-5532 | 2005-07-13 |
| 1942207048 | June S. Chen | Plastic Surgery | 7240 Highland Dr, Suite 175, Salt Lake City, UT 84121-5532 | 2005-07-05 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.