MRS. MELISSA GERARDI FAIRBAIRN (NPI# 1477609030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477609030 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA GERARDI FAIRBAIRN |
| Credential | PA-C |
| Practice Address |
35 Park Street North Pavillion, 1st Floor New Haven CT 06511 |
| Mailing Address |
28 Russett Rd Sandy Hook CT 06482-1455 |
| Practice Telephone | 2032004176 |
| Mailing Telephone | 2035288870 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 3303 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3303 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 24 Hospital Avenue, Western Ct Health Network, Danbury, CT 06810 | 2035288870 |
| Street Address |
35 PARK STREET NORTH PAVILLION, 1ST FLOOR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457448565 | Wendell Yarbrough | Otolaryngology | 35 Park Street, Smilow Cancer Hospital, New Haven, CT 06511 | 2006-10-09 |
| 1851740062 | Ashley Carol Allen | Nurse Practitioner | 35 Park Street, Smilow Cancer Hospital, New Haven, CT 06511 | 2016-06-08 |
| 1881985414 | Vaagn Andikyan | Obstetrics & Gynecology | 35 Park Street, Ste 1st Floor, New Haven, CT 06519 | 2011-04-30 |
| 1295050086 | Melissa Rasar Young | Radiology | 35 Park Street, Smilow Cancer Hospital - Lower Level, New Haven, CT 06510 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790319655 | Erin Kelly Flynn | Physician Assistant | 464 Congress Ave # Suie260, New Haven, CT 06519-1361 | 2020-02-28 |
| 1659919702 | Jeniece Kayla Wert | Physician Assistant | 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 | 2019-12-18 |
| 1588121354 | Jason Michael Nies | Physician Assistant | 20 York St # 218, New Haven, CT 06510-3220 | 2019-02-27 |
| 1902334436 | Lauren Veronica Boggs | Physician Assistant | 45 Ley St, New Haven, CT 06512-3921 | 2017-05-29 |
| 1831353853 | Dina Weiner | Physician Assistant | 840 Howard Ave Fl 1, New Haven, CT 06519-1106 | 2008-07-18 |
| 1528244027 | Gerald Kayingo | Physician Assistant | 211 Fountain St, Apt 12, New Haven, CT 06515-1979 | 2008-01-14 |
| 1821219783 | Susanne Atkins | Physician Assistant | 175 Sherman Avenue, New Haven, CT 06511 | 2007-05-01 |
| 1023133626 | John Sceppa | Physician Assistant | Yale -new Haven Hospital, 20 York St., New Haven, CT 06510-3202 | 2007-03-20 |
| 1922147578 | Janice Decho | Physician Assistant | 20 York St Cb- 2041, New Haven, CT 06504-8900 | 2007-02-06 |
| 1578613964 | Brian Patrick Munday | Physician Assistant | 800 Howard Ave Lower Level, Comprehensive Epilepsy Center LLCi 716, New Haven, CT 06520-8018 | 2007-01-10 |
| Find all providers in NEW HAVEN | ||||
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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.