MICHAEL W FAIRBANKS (NPI# 1215949896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215949896 |
| Entity Type | Individual |
| Full Name | MICHAEL W FAIRBANKS |
| Credential | FNP |
| Practice Address |
2490 Pass Rd Biloxi MS 39531-2838 |
| Mailing Address |
7421 Joe Fountain Rd Ocean Springs MS 39564-9626 |
| Practice Telephone | 2282079967 |
| Practice Fax Number | 2282731532 |
| Mailing Telephone | 2282389149 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-066504 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02672857 | 05 | |
| AL | NURSE PRACTITIONERS | 1-066504 | 01 |
| MS | MS PHYSICIAN CARE NETWORK | 900279914 | 01 |
| UNITED HEALTH CARE | 900279914 | 01 | |
| PHCS | 900279914 | 01 | |
| MS | TAX ID | 811413110 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578678926 | Michael K Fairbanks | Podiatrist | 425 W Bonita Ave Ste 110, San Dimas, CA 91773-2543 | 2006-08-19 |
| 1447206776 | Michael B Fairbanks | Family Medicine | 205 S Bradley Hwy, Rogers City, MI 49779-2137 | 2006-05-26 |
| Street Address |
2490 PASS RD |
| City | BILOXI |
| State | MS |
| Zip Code | 39531-2838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951808 | Biloxi Medical Clinic, Inc | Family Medicine | 2490 Pass Rd, Biloxi, MS 39531-2838 | 2020-10-27 |
| 1023477080 | Healthstop LLC | Internal Medicine | 2490 Pass Rd, Biloxi, MS 39531-2838 | 2016-02-19 |
| 1093045908 | Immediate Family Clinic | Clinic/Center | 2490 Pass Rd, Biloxi, MS 39531-2838 | 2009-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1144434747 | Blair S Mckee | Nurse Practitioner | 2490 S Shore Dr, Biloxi, MS 39532-3028 | 2007-05-10 |
| 1871640292 | Doreen Brock | Nurse Practitioner | 1046 Division Street, Biloxi, MS 39530 | 2007-01-05 |
| 1124095914 | Jada Cooper | Nurse Practitioner | 715-a Division Street, Biloxi, MS 39530 | 2006-03-01 |
| 1114583994 | Primesource Nursing Services, Inc | Nurse Practitioner | 2279 Atkinson Rd, Biloxi, MS 39531-2209 | 2019-05-16 |
| 1235698838 | Stacie Erin Slagle | Nurse Practitioner | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2019-03-14 |
| 1447738117 | Teraty Hudson | Nurse Practitioner | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2018-08-03 |
| 1619419900 | Kenyada Marshall | Nurse Practitioner | 150 Reynoir St, Biloxi, MS 39530-4130 | 2016-11-17 |
| 1649666538 | Ashley Wesson | Nurse Practitioner | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2015-04-08 |
| 1710220678 | Mississippi Emergency Physician Services, LLC | Nurse Practitioner | 150 Reynoir St, Biloxi, MS 39530-4130 | 2013-03-29 |
| Find all providers in BILOXI | ||||
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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.