DR. RUSSELL AUSTIN FAIRBANKS (NPI# 1528018355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528018355 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL AUSTIN FAIRBANKS |
| Credential | D.C. |
| Practice Address |
408 N Third St Rogers City MI 49779-1309 |
| Mailing Address |
Po Box 213 Rogers City MI 49779-0213 |
| Practice Telephone | 9897343384 |
| Practice Fax Number | 9897347391 |
| Mailing Telephone | 9897343384 |
| Mailing Fax Number | 9897347391 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301005062 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSSBLUESHIELD | 95OG150000 | 01 |
| MI | 2967204 | 05 |
| Street Address |
408 N THIRD ST |
| City | ROGERS CITY |
| State | MI |
| Zip Code | 49779-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043527195 | Russell A Fairbanks, D.c.,p.c. | Chiropractor | 408 N Third St, Rogers City, MI 49779-1309 | 2010-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689711772 | Alpena Regional Medical Center | General Acute Care Hospital | 2402 Bradley Highway, Suite 2, Rogers City, MI 49779 | 2007-01-30 |
| 1023173093 | James E Ryan | Dentist | 216 S Third St, Rogers City, MI 49779 | 2006-12-27 |
| 1477591691 | Thunder Bay Community Health Service, Inc | Clinic/Center | 205 S Brandley Hwy, Rogers City, MI 49779 | 2006-06-02 |
| 1245734516 | Melissa Zinke | Physical Therapist | 201 S Bradley Hwy, Suite 6, Rogers City, MI 49779 | 2018-03-21 |
| 1295108579 | Tricia Kowalski | Occupational Therapist | 555 N Bradley Hwy, Rogers City, MI 49779 | 2015-11-09 |
| 1801162649 | Thunder Bay Community Health Service, Inc | Clinic/Center | 555 N Bradley Hwy, Rogers City, MI 49779 | 2012-03-27 |
| 1316003890 | Amy Elizabeth Lesniowski | Occupational Therapist | 443 N 1st St, Rogers City, MI 49779-1303 | 2006-12-29 |
| 1780049528 | Peacock Family Chiropractic, Pllc | Chiropractor | 408 N 3rd St, Rogers City, MI 49779-1309 | 2015-12-21 |
| 1508814377 | Stanley J Suchey | Chiropractor | 157 Larke Ave, Rogers City, MI 49779-1345 | 2006-05-04 |
| 1992356083 | Dana J La Bar | Counselor | 1033 W Huron Ave, Rogers City, MI 49779-1428 | 2019-09-20 |
| Find all providers in zip 49779 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780049528 | Peacock Family Chiropractic, Pllc | Chiropractor | 408 N 3rd St, Rogers City, MI 49779-1309 | 2015-12-21 |
| 1508814377 | Stanley J Suchey | Chiropractor | 157 Larke Ave, Rogers City, MI 49779-1345 | 2006-05-04 |
| 1073573259 | David Albert Olree | Chiropractor | 784 Us Highway 23 N, Rogers City, MI 49779-1513 | 2006-03-23 |
| 1043527195 | Russell A Fairbanks, D.c.,p.c. | Chiropractor | 408 N Third St, Rogers City, MI 49779-1309 | 2010-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860240 | Moriah K Severance | Chiropractor | 2449 W Kimmel Rd, Jackson, MI 49201-9783 | 2020-10-30 |
| 1760082465 | David Scott Severance | Chiropractor | 11720 Tompkins Rd, Rives Junction, MI 49277-9629 | 2020-10-30 |
| 1760082705 | Kelly Chiropractic Clinic, LLC | Chiropractor | 3179 12 Mile Rd, Berkley, MI 48072-1339 | 2020-10-29 |
| 1619584273 | Sydnee Laree Rutledge | Chiropractor | 3634 Mccain Rd Ste 7, Jackson, MI 49203-2576 | 2020-09-28 |
| 1790391860 | Ferras Dassouki | Chiropractor | 1126 Hunter Ct, Milford, MI 48381-3180 | 2020-09-23 |
| 1811503972 | Nicholas Heiserman | Chiropractor | 498 E Monroe St, Dundee, MI 48131-1321 | 2020-09-23 |
| 1114532835 | Pro-active Chiropractic Wellness of Grand Rapids | Chiropractor | 4270 Plainfield Ave Ne # E, Grand Rapids, MI 49525-1603 | 2020-09-10 |
| 1215540463 | Lake State Chiropractic Pllc | Chiropractor | 2155 84th St Sw Ste 4, Byron Center, MI 49315-8259 | 2020-08-27 |
| 1609488402 | Primrose Family Chiropractic and Wellness Center | Chiropractor | 25900 Greenfield Rd Suite 252, Oak Park, MI 48237-1297 | 2020-08-21 |
| 1780295063 | Wilhelm Family Chiropractic and Massage Pllc | Chiropractor | 23200 Pontiac Trl, South Lyon, MI 48178-1983 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | ROGERS CITY |
| Zip Code | 49779 |
Please comment or provide details below to improve the information on DR. RUSSELL AUSTIN FAIRBANKS.
| 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.