SEAN MICHAEL FAHEY (NPI# 1619976479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619976479 |
| Entity Type | Individual |
| Full Name | SEAN MICHAEL FAHEY |
| Credential | M.D. |
| Practice Address |
128 Medical Park Rd Suite 101 Mooresville NC 28117-8578 |
| Mailing Address |
Po Box 1845 Statesville NC 28687-1845 |
| Practice Telephone | 7046581001 |
| Practice Fax Number | 7046581002 |
| Mailing Telephone | 7048734277 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2015-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
200201576 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89134NK | 05 |
| Street Address |
128 MEDICAL PARK RD SUITE 101 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-8578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831218031 | Naomi Soroosh Simon | Dermatology | 128 Medical Park Rd, Suite 201, Mooresville, NC 28117-8578 | 2007-03-28 |
| 1073575908 | Andrea G Brock | Physician Assistant | 128 Medical Park Rd, Suite 101, Mooresville, NC 28117-8578 | 2006-04-05 |
| 1881670164 | David Benjamin Konstandt | Specialist | 128 Medical Park Rd, Suite 301, Mooresville, NC 28117-8578 | 2005-12-19 |
| 1881670537 | Stewart Michael Polsky | Specialist | 128 Medical Park Rd, Suite 301, Mooresville, NC 28117-8578 | 2005-12-15 |
| 1104802859 | Michael Raymond Cram | Specialist | 128 Medical Park Rd, Suite 301, Mooresville, NC 28117-8578 | 2005-12-15 |
| 1750362950 | Manish G Patel | Family Medicine | 128 Medical Park Rd, Suite 101, Mooresville, NC 28117-8578 | 2005-11-07 |
| 1801888797 | Susan Rene Benson | Pediatrics | 128 Medical Park Rd, Ste 200, Mooresville, NC 28117-8578 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1306021977 | St. Francis Hospital and Health Centers | Internal Medicine | 1001 Hadley Rd, Suite 120, Mooresville, IN 46158-1883 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679090468 | Novant Medical Group Inc | Internal Medicine | 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 | 2017-08-23 |
| 1992231591 | Christopher Overton | Internal Medicine | 3300 Thurston Building Cb# 7280, Chapel Hill, NC 27599-7280 | 2017-05-03 |
| 1902358294 | Integrative Rheumatology Pllc | Internal Medicine | 10826 Mallard Creek Rd Ste 100, Charlotte, NC 28262-7785 | 2016-11-02 |
| 1760801146 | Noopur Goel | Internal Medicine | 1001 Pemberton Hill Rd Ste 202, Apex, NC 27502-4265 | 2014-04-14 |
| 1134498108 | Lake Norman Arthritis Specialists, Pa | Internal Medicine | 130 Harbour Place Dr, Suite 100, Davidson, NC 28036-7441 | 2011-12-21 |
| 1437447844 | Priyank Chaudhary | Internal Medicine | 901 N Winstead Ave Ste 260, Rocky Mount, NC 27804-8757 | 2011-07-19 |
| 1457666026 | Orwah Al-khalili | Internal Medicine | 7850 Brier Creek Pkwy, Raleigh, NC 27617-8900 | 2010-08-08 |
| 1265757157 | Surry Parker Roberts | Internal Medicine | 120 Woodburn Rd, Raleigh, NC 27605-1617 | 2010-04-02 |
| 1912235268 | Shanahan Rheumatology and Immunotherapy, Pllc | Internal Medicine | 10208 Cerny Street, Wake Med Brier Creek Medical Park, Raleigh, NC 27617 | 2009-11-25 |
| 1205163144 | George Ayo Korede | Internal Medicine | 1212 Spruce St Ste 311, Belmont, NC 28012 | 2009-11-13 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
Please comment or provide details below to improve the information on SEAN MICHAEL FAHEY.
| 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.