Donald Fairbanks (NPI# 1164441457, PAC ID# 1850357328) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164441457 |
| PAC ID by PECOS | 1850357328 |
| Professional Enrollment ID | I20110406000118 |
| Full Name | Donald Fairbanks |
| Organization Legal Name | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Address |
270 Goosepond Rd Suite 102 Newark OH 43055-3104 |
| Phone Number | 2205647945 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6204740731 |
| Number of Group Practice Members | 184 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360218 | LICKING MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 270 Goosepond Rd, Suite 102, Newark, OH 43055-3104 | 2205647945 | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Organization Legal Name | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Physicians | 169 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia Kearse | Obstetrics/gynecology | Licking Memorial Professional Corporation | 15 Messimer Dr, Newark, OH 43055-1841 |
| Michael Isaac Sniderman | Anesthesiology | Licking Memorial Professional Corporation | 1320 W Main St, Newark, OH 43055-1822 |
| Bradley R Lawson | Otolaryngology | Licking Memorial Professional Corporation | 36 Mcmillen Dr, Newark, OH 43055-1809 |
| Troy S Magaw | Physician Assistant | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Richard D Kennedy | Family Medicine | Licking Memorial Professional Corporation | 96 Integrity Dr, Hebron, OH 43025-7013 |
| Michael D Barth | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Jacob Z Slepian | Otolaryngology | Licking Memorial Professional Corporation | 88 Mcmillen Dr, Newark, OH 43055-1809 |
| Talya R Greathouse | Family Medicine | Licking Memorial Professional Corporation | 1717 W Main St, Suite 201, Newark, OH 43055-1347 |
| Stephen Pickstone | Psychiatry | Licking Memorial Professional Corporation | 200 Messimer Dr, Newark, OH 43055-3627 |
| Laura J Schaeffer | Dermatology | Licking Memorial Professional Corporation | 1 Healthy Pl, Suite 203, Pataskala, OH 43062-7067 |
| Street Address |
270 GOOSEPOND RD SUITE 102 |
| City | NEWARK |
| State | OH |
| Zip | 43055-3104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth R Greer | Critical Care (intensivists) | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Harvinder S Gill | Pulmonary Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Joshua R Thomas | Internal Medicine | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Asegid H Kebede | Pulmonary Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Ilya G Goldenberg | Internal Medicine | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Alissa V Ackelson | Infectious Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Armand A Bermudez | Critical Care (intensivists) | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Michael J Kirwin | Family Practice | 2000 Tamarack Rd, Newark, OH 43055-1183 | |
| Gene Harrison | Chiropractic | 1951 Tamarack Rd, Newark, OH 43055-1300 | |
| Caroline Thompson | Clinical Social Worker | National Youth Advocate Program Inc | 2112 Cherry Valley Rd, Newark, OH 43055-1323 |
| Find all physicians in zip 43055 | |||
| City | NEWARK |
| Zip Code | 43055 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEWARK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Donald Fairbanks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.