J H FAIRBANKS, MD PLLC (NPI# 1336209550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336209550 |
| Entity Type | Organization |
| Organization Name | J H FAIRBANKS, MD PLLC |
| Practice Address |
107 Front St Suite 230 Vidalia LA 39120 |
| Practice Telephone | 3183362212 |
| Practice Fax Number | 3183366067 |
| Mailing Telephone | 3183362212 |
| Mailing Fax Number | 3183366067 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-16 |
| Authorized Official Name | DR. JOHN H FAIRBANKS (OWNER) |
| Authorized Official Telephone | 3183362212 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 15703 | MS | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD017268 | LA | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | MD017268 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1384101 | 05 | |
| MS | 00119142 | 05 |
| Street Address |
107 FRONT ST SUITE 230 |
| City | VIDALIA |
| State | LA |
| Zip Code | 39120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251996 | Iley Floyd Dillon | Internal Medicine | 107 Front St, Suite 2109, Vidalia, LA 71373-2836 | 2005-08-09 |
| 1992326359 | Riverpark Dermatology Services LLC | Dermatology | 107 Front St, Rm 1-129, Vidalia, LA 71373 | 2020-04-27 |
| 1356875637 | Perfusion Vascular Vidalia LLC | Surgery | 107 Front St, Vidalia, LA 71373-2836 | 2017-04-13 |
| 1275985012 | Riverfront Urgent Care Center LLC | Orthopaedic Surgery | 107 Front St, Ste 2138, Vidalia, LA 71373-2836 | 2016-07-05 |
| 1407249766 | Riverpark Counseling LLC | Social Worker | 107 Front St, Ste 2134, Vidalia, LA 71373-2836 | 2015-03-11 |
| 1700937950 | Michael R Wimberly II | Physical Therapist | 107 Front St, Suite 230, Vidalia, LA 71373-2836 | 2007-01-15 |
| 1649341082 | Lisa Cazalot | Nurse Practitioner | 107 Front St, Vidalia, LA 71373-2836 | 2006-11-09 |
| 1255421038 | Riverpark Laboratory Services | Clinical Medical Laboratory | 107 Front St, Vidalia, LA 71373-2836 | 2006-10-13 |
| 1730276965 | Riverpark Community Cath Lab, LLC | Clinic/Center | 107 Front St, Vidalia, LA 71373-2836 | 2006-10-09 |
| 1669491288 | John H Fairbanks | Orthopaedic Surgery | 107 Front St, Suite 2134, Vidalia, LA 71373-2836 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903518 | Rosa L. Newman | Foster Care Agency | 722 North Rankin St, Natchez, MS 39120 | 2019-10-11 |
| 1114572625 | Tiffany Cassandra Lockhart | Counselor | 60 Roux Road, Natchez, MS 39120 | 2019-08-02 |
| 1164918728 | We Care Express LLC | Non-emergency Medical Transport (VAN) | 137 Greystone Pl, Natchez, MS 39120 | 2018-07-06 |
| 1053841585 | Tyler Lee Huls | Specialist/Technologist | 48 Sgt Prentiss Drive, Natchez, MS 39120 | 2017-06-18 |
| 1336594985 | Nkechinyere Christina Nwoko | Podiatrist | 46 Sgt Prentiss Dr Ste 201b, Natchez, MS 39120 | 2016-05-02 |
| 1073983433 | Lillie Christine Hauer | Case Manager/Care Coordinator | 9 Roux 61, Suite C, Natchez, MS 39120 | 2015-09-29 |
| 1760818017 | Miss-lou Dental LLC | Dentist | 110 Highway 61 South, Natchez, MS 39120 | 2013-09-18 |
| 1922344902 | Bluebonnet Dental Care Natchez | Dentist | 101 Highway 61 South, Natchez, MS 39120 | 2012-12-20 |
| 1265781033 | Hal Sheldon Edwards | Pharmacist | 285 Sgt Prentiss Drive, Natchez, MS 39120 | 2012-09-07 |
| 1790031607 | Catherine Misita | Social Worker | 113 N Union St, Natchez, MS 39120 | 2012-07-29 |
| Find all providers in zip 39120 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659517811 | John Casey Spivey | Orthopaedic Surgery | 3301 E 1st St Ste A, Vidalia, GA 30474-8674 | 2008-12-18 |
| 1831185172 | Four Rivers Orthopedic Assoc PC | Orthopaedic Surgery | 500a Maple Dr, Vidalia, GA 30474-8998 | 2005-09-22 |
| 1861486862 | Charles M Spivey | Orthopaedic Surgery | 3301 First Street East, Suite A, Vidalia, GA 30474 | 2005-09-06 |
| 1275985012 | Riverfront Urgent Care Center LLC | Orthopaedic Surgery | 107 Front St, Ste 2138, Vidalia, LA 71373-2836 | 2016-07-05 |
| 1386038057 | Optim Orthopedics, LLC | Orthopaedic Surgery | 3301 E 1st St, Suite B, Vidalia, GA 30474-8674 | 2015-03-20 |
| 1134367550 | Vidalia Orthopedic Center, LLC | Orthopaedic Surgery | 1707 Meadows Ln, Suite H, Vidalia, GA 30474-7200 | 2009-01-22 |
| 1528224185 | Scott Orthopaedic and Spine Center LLC | Orthopaedic Surgery | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8852 | 2008-08-04 |
| 1104017821 | Mark Spivey Orthopedic Clinic, LLC | Orthopaedic Surgery | 3301 E 1st St, Ste A, Vidalia, GA 30474-8674 | 2007-08-07 |
| 1669491288 | John H Fairbanks | Orthopaedic Surgery | 107 Front St, Suite 2134, Vidalia, LA 71373-2836 | 2006-07-18 |
| 1114915618 | James W. Fordyce | Orthopaedic Surgery | 1707 Meadows Ln, Suite H, Vidalia, GA 30474-7200 | 2005-10-10 |
| Find all providers in VIDALIA | ||||
Please comment or provide details below to improve the information on J H FAIRBANKS, MD PLLC.
| 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.