DR. MICHAEL C. FAHEY


Address: 55 Lake Ave N, Department of Pediatrics, Worcester, MA 01655-0002
Phone: 5088564154

DR. MICHAEL C. FAHEY (NPI# 1255536082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255536082
Entity Type Individual
Full Name DR. MICHAEL C. FAHEY
Credential M.D.
Practice Address 55 Lake Ave N
Department of Pediatrics
Worcester
MA 01655-0002
Mailing Address Po Box 415348
Boston
MA 02241-5348
Practice Telephone 5088564154
Practice Fax Number 5088568125
Mailing Telephone 8002258885
Mailing Fax Number 5083341977
Enumeration Date 2007-06-20
Last Update Date 2020-04-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
235218 MA Allopathic & Osteopathic Physicians
N 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
236443 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 110079829A 05

Other Providers MICHAEL FAHEY

NPI Name Taxonomy Address Enumeration
1619076783 Michael Dennis Fahey Dentist 502 3rd Street, Winnie, TX 77665 2006-09-22
1851403109 Michael James Fahey Surgery 481 Plumas Blvd, Ste 103, Yuba City, CA 95991-5075 2006-08-31
1669426029 Michael J Fahey Nurse Anesthetist, Certified Registered 105 N Meadows Dr, Athens, TN 37303-4172 2006-05-20

Office Location

Street Address 55 LAKE AVE N
DEPARTMENT OF PEDIATRICS
City WORCESTER
State MA
Zip Code 01655-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477556587 James E Liebmann Internal Medicine 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 2005-05-23
1518568732 Justin Bullard Psychologist 55 Lake Ave N, Worcester, MA 01655-0002 2020-11-04
1346849825 Meghan Moore Nurse Practitioner 55 Lake Ave N, Worcester, MA 01655-0002 2020-10-26
1174122899 Jessica Goncalves Ferreira Nurse Practitioner 55 Lake Ave N, Worcester, MA 01655-0002 2020-10-23
1235746686 Desiree Mytych Student in an Organized Health Care Education/Training Program 55 Lake Ave N, Worcester, MA 01655-0002 2020-09-29
1659986248 Rebecca Lynn Harris Student in an Organized Health Care Education/Training Program 55 Lake Ave N, Worcester, MA 01655-0002 2020-09-10
1639781487 Gabriella Kathleen Holland Student in an Organized Health Care Education/Training Program 55 Lake Ave N, Worcester, MA 01655-0002 2020-08-21
1730791898 Kerry Anne Benedict Speech-Language Pathologist 55 Lake Ave N, Worcester, MA 01655-0002 2020-08-20
1902418999 Natasha R. Turner Genetic Counselor, MS 55 Lake Ave N, Worcester, MA 01655-0002 2020-08-20
1144830712 Abbey Corsini Nurse Practitioner 55 Lake Ave N, Worcester, MA 01655-0002 2020-08-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205489713 Darryl Sweeper Jr. Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 2019-07-23
1225690530 Ryan Zenevitch Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 2019-07-08
1932688454 Victoria Sayeg Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 2018-08-07
1114425675 Judith Dio Wentzell Social Worker Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 2018-01-30
1861927386 Muhammad Waqas Khan Student in an Organized Health Care Education/Training Program University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 2017-04-21
1861806192 Qaiser Shamshir Khan Psychiatry & Neurology 55 Lake Ave N # S7-831, Worcester, MA 01655 2014-06-14
1073858981 Heidi Glover Nurse Practitioner 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 2012-12-04
1972867992 Anna Bjornsdottir Psychiatry & Neurology 55 Lake Av N, Worcester, MA 01655 2012-06-25
1245567676 Steven Edward Mckinley Nurse Practitioner 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 2009-11-05
1851582951 Robin I Davidson Neurological Surgery 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 2007-08-05
Find all providers in zip 01655

Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700876380 Child Heart Associates, LLC Pediatrics 33 Oak Ave, Worcester, MA 01605-2752 2005-10-25
1790861748 Lorraine Marasco Schratz Pediatrics 33 Oak Ave, Worcester, MA 01605-2752 2006-10-31
1356394472 Darshak M Sanghavi Pediatrics 55 Lake Ave N, Department of Pediatric Cardiology, Worcester, MA 01655-0002 2006-05-18
1518957190 Lars Erickson Pediatrics 33 Oak Ave, Worcester, MA 01605-2752 2005-10-25
1871583450 Phyllis Pollack Pediatrics 33 Oak Ave, Worcester, MA 01605-2752 2005-10-25
1679563258 Maria Victoria T Tantengco Pediatrics 33 Oak Ave, Worcester, MA 01605-2752 2005-10-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467933309 Chavisa Rassameehirun Pediatrics 300 Longwood Ave Unit, Boston, MA 02115-5724 2018-08-28
1407300858 Carolina Escudero Pediatrics 240 Heath St, Ph 16, Boston, MA 02130-1149 2016-08-14
1629358767 The Children's Heart Center of Western Massachusetts, LLC Pediatrics 1754 Northampton St, Holyoke, MA 01040-1947 2011-08-21
1518087790 Michael E. Willers Pediatrics 1754 Northampton Street, Holyoke, MA 01040 2007-03-30
1356495428 Herbert E Cohn Pediatrics 35 Wharf Path Apt D, Marblehead, MA 01945-4653 2007-01-23
1396368460 Lauren Sell Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2020-05-25
1356998645 Ciara Mcmanus Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2019-08-21
1699297374 Katie Maree Moynihan Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2017-07-13
1609328988 Luciana De Franco Marcondes Gomes Pediatrics 300 Longwood Ave, Boston Children's Hospital Cardiology Department, Boston, MA 02115-5724 2016-11-02
1598211203 Hanita Shai Pediatrics 300 Longwood Avenue, Boston, MA 02115 2016-09-01
Find all providers with the same taxonomy

Competitor

Search similar providers

City WORCESTER
Zip Code 01655

Improve Information

Please comment or provide details below to improve the information on DR. MICHAEL C. FAHEY.

Dataset Information

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.

Trending Searches