HCC OF FAIRFIELD LLC (NPI# 1487122750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487122750 |
| Entity Type | Organization |
| Organization Name | HCC OF FAIRFIELD LLC |
| Practice Address |
125 Newman St Fairfield TX 75840-1419 |
| Mailing Address |
17304 Preston Rd Ste 1400 Dallas TX 75252-5633 |
| Practice Telephone | 8669318882 |
| Mailing Telephone | 8669318882 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | RON WEISS (PRESIDENT) |
| Authorized Official Telephone | 8669318882 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
125 NEWMAN ST |
| City | FAIRFIELD |
| State | TX |
| Zip Code | 75840-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578542098 | East Texas Medical Center Fairfield | Clinic/Center | 125 Newman St, Fairfield, TX 75840-1419 | 2006-01-12 |
| 1588132856 | Ess of Fairfield LLC | Emergency Medicine | 125 Newman St, Fairfield, TX 75840-1419 | 2018-11-05 |
| 1235685892 | Fairfield Hospital District | General Acute Care Hospital | 125 Newman St, Fairfield, TX 75840-1419 | 2016-09-01 |
| 1306021209 | Freestone Physician Services Pa | Hospitalist | 125 Newman St, Fairfield, TX 75840-1419 | 2008-01-09 |
| 1992986368 | David Allen Latham | Emergency Medicine | 125 Newman St, Fairfield, TX 75840-1419 | 2007-11-14 |
| 1093735334 | Merlin Leroy Shriner | Emergency Medicine | 125 Newman St, Fairfield, TX 75840-1419 | 2006-07-20 |
| 1124057849 | Freestone Emergency Medicine Associates Pa | Emergency Medicine | 125 Newman St, Fairfield, TX 75840-1419 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508724 | Caitlin Nicole Sieck | Physical Therapist | 375 A West Hwy 84, Fairfield, TX 75840 | 2020-08-13 |
| 1841816014 | Katie Randall | Licensed Practical Nurse | 115 Pr 1295, Fairfield, TX 75840 | 2020-06-23 |
| 1063574671 | Rural Rehab Providers, LLC | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2006-12-14 |
| 1598854572 | Erin Maggard | Specialist | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| 1003916453 | Brookshire Brothers Inc | Pharmacy | 300 West Hwy 84, Fairfield, TX 75840 | 2006-09-25 |
| 1003899501 | Air Evac Ems Inc | Ambulance | 160 Interstate 45 S, Fairfield, TX 75840 | 2005-11-29 |
| 1316423452 | Tonya N Basque | Nurse Practitioner | 734 W Commerce St, Fairfield, TX 75840 | 2018-07-12 |
| 1952681256 | Suzanne Castles | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2011-08-18 |
| 1245476282 | Jack D Runyan | Physician Assistant | 734 W Commerce St, Fairfield, TX 75840 | 2008-12-22 |
| 1407945488 | Lisa Lott | Nurse Practitioner | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| Find all providers in zip 75840 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023664125 | Emily Knowlton | Internal Medicine | 2000 Post Rd Ste 202, Fairfield, CT 06824-5730 | 2019-08-14 |
| 1508215377 | Robert S Galvin | Internal Medicine | 376 Hillside Rd, Fairfield, CT 06824-2140 | 2016-06-12 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1588083075 | Clarisse Elaine Cadang | Internal Medicine | 4520 Business Center Dr Ste 200, Fairfield, CA 94534-6888 | 2014-04-10 |
| 1912262643 | Khushleen Jaggi | Internal Medicine | 3900 Business Center Dr Apt 9303, Fairfield, CA 94534-4238 | 2012-07-09 |
| 1831462951 | Vincent E Kerr | Internal Medicine | 77 Mailands Rd, Fairfield, CT 06824-3999 | 2012-02-21 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1992038285 | Absolute Health Medical Spa | Internal Medicine | 4820 Business Center Dr, Suite 110, Fairfield, CA 94534-1696 | 2009-09-17 |
| 1962653576 | Wallace Bernard Lebowitz | Internal Medicine | 1699 Fairfield Beach Rd, Fairfield, CT 06824-6522 | 2008-10-02 |
| Find all providers in FAIRFIELD | ||||
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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.