FAIRFIELD CARDIAC CATH LAB (NPI# 1497823975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497823975 |
| Entity Type | Organization |
| Organization Name | FAIRFIELD CARDIAC CATH LAB |
| Practice Address |
3000 Mack Road Suite 200 Fairfield OH 45014 |
| Practice Telephone | 5136038888 |
| Mailing Telephone | 5136038888 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. BRENDA L VANDEVENTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5136038888 |
| Authorized Official Credential | RN MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2383424 | 05 |
| Street Address |
3000 MACK ROAD SUITE 200 |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275742728 | Daniel Clark Eckert | Internal Medicine | 3000 Mack Road, Suite 100, Fairfield, OH 45014-5335 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
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| 1346670270 | Passport Health Holdings LLC | Clinic/Center | 140 Sherman St, 4th Floor, Fairfield, CT 06824-5849 | 2013-11-13 |
| 1548592561 | Cardinal Chiropractic, LLC | Clinic/Center | 1817 Black Rock Tpke, Suite 102, Fairfield, CT 06825-3546 | 2010-02-01 |
| 1306083464 | Sleepcare Diagnostic Inc | Clinic/Center | 2740 Mack Rd, Fairfield, OH 45014-5161 | 2009-01-12 |
| 1306009113 | Compass Point | Clinic/Center | 1251 Nilles Rd, Suite 5, Fairfield, OH 45014-7206 | 2008-07-02 |
| 1548431752 | Mercy Express Care | Clinic/Center | 5440 Dixie Hwy, Suite G, Fairfield, OH 45014-7488 | 2008-03-14 |
| 1528271137 | Tlc The Laser Center (connecticut) LLC | Clinic/Center | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2007-05-08 |
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| 1710501259 | Jean K Hoffman, Dc | Clinic/Center | 4555 Sugar Berry Ln, Hilliard, OH 43026-1977 | 2020-06-01 |
| 1588285712 | Springway Medical and Addiction Treatment Center | Clinic/Center | 8515 Flowering Cherry Dr, Blacklick, OH 43004-8832 | 2020-04-28 |
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| Find all providers with the same taxonomy | ||||
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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.