DR. MICHAEL EDWARD FAHR (NPI# 1013134626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013134626 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL EDWARD FAHR |
| Credential | M.D. |
| Practice Address |
15790 Paul Vega Md Dr Hammond LA 70403-1434 |
| Mailing Address |
15790 Paul Vega Md Dr Hammond LA 70403 |
| Practice Telephone | (985) 230-1870 |
| Practice Fax Number | 9852301871 |
| Mailing Telephone | (985) 230-1870 |
| Mailing Fax Number | 9852301871 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2017-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD.203318 | LA | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD.203318 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0303804 | 05 | |
| LA | 1997421 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477540607 | Michael J Fahr | Emergency Medicine | 2302 College Ave, Conway, AR 72034-6297 | 2005-10-03 |
| Street Address |
15790 PAUL VEGA MD DR |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364075 | Julie Joyce | Nurse Anesthetist, Certified Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2005-05-30 |
| 1487267456 | Adrienne Hymel Holdridge | Nurse Practitioner | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2020-08-28 |
| 1417573213 | Jennifer Steib | Nurse Anesthetist, Certified Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2020-06-18 |
| 1215559505 | Matthew Peralta | Radiology | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2020-05-11 |
| 1215559596 | Tyare Standberry | Radiology | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2020-05-10 |
| 1306466396 | Whitney Adams Phillips | Specialist/Technologist | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2020-04-20 |
| 1174152573 | Jessica Granier Pollet | Registered Nurse | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2020-04-07 |
| 1780216655 | Courtney A Muller | Nurse Practitioner | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2020-02-10 |
| 1558900159 | Tyler G Nelson | Nurse Anesthetist, Certified Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2019-12-30 |
| 1104485390 | Brittany Janel-helen Roussel | Dietitian, Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467831180 | Northshore Surgical Specialists LLC | Surgery | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2015-05-27 |
| 1992191746 | Christopher Johnson | Surgery | 7777 Hennessy Blvd Ste 612, Baton Rouge, LA 70808-4366 | 2015-04-08 |
| 1700297272 | Oriole Acute Trauma LLC | Surgery | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2014-05-18 |
| 1205255353 | Robert Emmett Reily | Surgery | 1017 Broadway St, New Orleans, LA 70118-5240 | 2014-04-15 |
| 1568645703 | Jeffrey Eric Carter | Surgery | 1542 Tulane Ave, New Orleans, LA 70112-2865 | 2007-12-11 |
| 1013108174 | Patrick Greiffenstein | Surgery | 1542 Tulane Ave, New Orleans, LA 70112-2865 | 2007-08-05 |
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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.