DR. JOHN WILLIAM FAHLBERG JR. (NPI# 1144543737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144543737 |
| Entity Type | Individual |
| Full Name | DR. JOHN WILLIAM FAHLBERG JR. |
| Credential | M.D. |
| Practice Address |
13273 E Hislop Hill Dr Vail AZ 85641-9381 |
| Practice Telephone | 5202751064 |
| Mailing Telephone | 5202751064 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 19351 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
13273 E HISLOP HILL DR |
| City | VAIL |
| State | AZ |
| Zip Code | 85641-9381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457814063 | Dentists of Vail, LLP | Dentist | 13410 E. Mary Ann Cleveland Way, Vail, AZ 85641 | 2019-04-10 |
| 1023560885 | Danielle Marie Villatoro | Nurse Practitioner | 9731 S Camino De La Calinda, Vail, AZ 85641 | 2016-10-27 |
| 1407254394 | Carol Vallecalle | Contractor | 12119 E. Metz Dr, Vail, AZ 85641 | 2014-12-09 |
| 1700214103 | Sarah Watza | Speech-Language Pathologist | 13801 E. Benson Hwy, Vail, AZ 85641 | 2013-10-22 |
| 1982985818 | Vanica Caswell | Registered Nurse | 11581 S. Mary Jane Warner Dr., Vail, AZ 85641 | 2011-09-06 |
| 1518299585 | James Shea Connolly | Respiratory Therapist, Registered | 9406 S. Leon Ranch Road, Vail, AZ 85641 | 2010-02-02 |
| 1477792158 | Julie C Duvall | Psychologist | 13801 E. Benson Highway, Vail, AZ 85641 | 2009-02-19 |
| 1952581720 | Sarah G. Grether | Psychologist | Vail School District, 13801 E. Benson Hwy., Vail, AZ 85641 | 2007-11-09 |
| 1902027915 | Yvonne Barnett | Speech-Language Pathologist | 13801 East Benson Highway, Vail, AZ 85641 | 2007-05-01 |
| 1922171586 | Sue Ellen Anderson | Respite Care | 13588 E Yorkie Place, Vail, AZ 85641 | 2006-11-15 |
| Find all providers in zip 85641 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295952760 | Gayle L Braunholtz | Emergency Medicine | 181 West Meadow Drive, Vail, CO 81657 | 2007-04-19 |
| 1194822825 | Natalie Lynn Martin | Emergency Medicine | 181 W Meadow Dr, Vail Valley Medical Center, Vail, CO 81657-5242 | 2006-09-17 |
| 1023110095 | Emanuel Podgorny IIi | Emergency Medicine | 181 W Meadow Dr, Vail, CO 81657-5242 | 2006-09-01 |
| 1164534939 | Laurence Winfield Brooks | Emergency Medicine | 181 W Meadow Dr, Vail Valley Medical Center, Vail, CO 81657-5242 | 2006-08-31 |
| 1497866727 | Steven Ross Wilner | Emergency Medicine | 181 W Meadow Dr, Vail, CO 81657-5242 | 2006-08-31 |
| 1962514521 | Diana Leslie Hearne | Emergency Medicine | 181 W Meadow Dr, Vail Valley Medical Center, Vail, CO 81657-5242 | 2006-08-31 |
| 1750493797 | Gordon Slaughter Hardenbergh | Emergency Medicine | 181 W Meadow Dr, Vail, CO 81657-5242 | 2006-08-31 |
| 1851402192 | Robert Henderson Potts Jr. | Emergency Medicine | 181 W Meadow Dr, Vail, CO 81657-5242 | 2006-08-31 |
| 1003928862 | William Arnold Bevan Jr. | Emergency Medicine | 181 W Meadow Dr, Vail, CO 81657-5242 | 2006-08-31 |
| 1467563858 | John Bernard Woodland | Emergency Medicine | 181 W Meadow Dr, Vail, CO 81657-5242 | 2006-08-31 |
| Find all providers in VAIL | ||||
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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.