FAIRWAY MANAGEMENT, LLC (NPI# 1033528948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033528948 |
| Entity Type | Organization |
| Organization Name | FAIRWAY MANAGEMENT, LLC |
| Other Organization Name | INDEED WELLNESS |
| Practice Address |
240 W Seneca St Suite 8 Manlius NY 13104-3401 |
| Practice Telephone | 3156820328 |
| Practice Fax Number | 3156820295 |
| Mailing Telephone | 3156820328 |
| Mailing Fax Number | 3156820295 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Authorized Official Name | ROBERT EUGENE BAILEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3156820325 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 33D2071872 | NY | Laboratories |
| Other Name | Type Code |
|---|---|
| inDeed Wellness | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FAIRWAY MANAGEMENT, LLC | 841 Saginaw St S, Salem, OR 97302 |
| Street Address |
240 W SENECA ST SUITE 8 |
| City | MANLIUS |
| State | NY |
| Zip Code | 13104-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801957410 | Michael P Mcgee | Physical Therapist | 240 W Seneca St, Suite8, Manlius, NY 13104-3401 | 2006-12-13 |
| 1023590114 | Audiology Services Company Usa, LLC | Audiologist | 240 W Seneca St, Manlius, NY 13104-3401 | 2018-09-05 |
| 1811391618 | Judy Spilka | Physical Therapist | 240 W Seneca St, Suite 8, Manlius, NY 13104-3401 | 2014-10-22 |
| 1831598895 | Indeed Wellness, LLC | Clinical Medical Laboratory | 240 W Seneca St, Suite 8, Manlius, NY 13104-3401 | 2014-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790334423 | Cindy Gleason | Technician | 8450 Number 2 Rd East, Manlius, NY 13104 | 2019-09-05 |
| 1275009995 | Tristan Karel Martin | Marriage & Family Therapist | 4500 Pewter Lane, 8&9, Manlius, NY 13104 | 2018-10-20 |
| 1184141715 | Walgreen Co | Pharmacy | 315 Fayette St Ste 3, Manlius, NY 13104 | 2017-08-24 |
| 1518233386 | Edward Theodore Schroeder | Internal Medicine | 8345 Vassar Drive, Manlius, NY 13104 | 2012-03-27 |
| 1790052017 | Megan Lynn Perioli | Counselor | 8219 Market Pl Bldg 10, Manlius, NY 13104 | 2011-12-01 |
| 1194979088 | Erin Elizabeth Kolceski | Speech-Language Pathologist | 8141 Old Sunridge Dr, Manlius, NY 13104 | 2008-11-05 |
| 1700037314 | Peter H Emery Jr. | Pharmacist | 3215 Pompey Center Road, Manlius, NY 13104 | 2008-10-02 |
| 1093987216 | Jason David Henderson | Dentist | 8179 Cazenovia Rd., Manlius, NY 13104 | 2008-03-27 |
| 1154517019 | Cynthia E Cavanaugh | Registered Nurse | 2968 Gulf Rd, Manlius, NY 13104 | 2007-09-24 |
| 1487853537 | Harold Jason Rodman | Dentist | 28 Lincklaen St, Cazenovia, NY 13104 | 2007-07-17 |
| Find all providers in zip 13104 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831598895 | Indeed Wellness, LLC | Clinical Medical Laboratory | 240 W Seneca St, Suite 8, Manlius, NY 13104-3401 | 2014-08-15 |
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| 1316597958 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 | 2019-09-16 |
| 1043869068 | Champlain Toxicology Lab, LLC | Clinical Medical Laboratory | 32 Veterans Ln Ste 2, Plattsburgh, NY 12901-1217 | 2019-09-11 |
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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.