Susan Carole Fair


Address: 595 N Courtenay Pkwy, Suite 102, Merritt Island, FL 32953-4790

Susan Carole Fair (NPI# 1457351223, PAC ID# 7810084985) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1457351223
PAC ID by PECOS 7810084985
Professional Enrollment ID I20071106000661
Full Name Susan Carole Fair
Address 595 N Courtenay Pkwy
Suite 102
Merritt Island
FL 32953-4790
Gender F
Graduation Year 1996
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100177 CAPE CANAVERAL HOSPITAL
100092 WUESTHOFF MEDICAL CENTER ROCKLEDGE
100315 VIERA HOSPITAL
100028 PARRISH MEDICAL CENTER

Other Locations

Address Phone Organization
595 N Courtenay Pkwy, Suite 102, Merritt Island, FL 32953-4790

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 100%
MIPS_EC_113_overall Colorectal Cancer Screening 100%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%
MIPS_EC_134_overall Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan 100%
MIPS_EC_155_overall Falls: Plan of Care 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Office Location

Street Address 595 N COURTENAY PKWY
SUITE 102
City MERRITT ISLAND
State FL
Zip 32953-4790

Physicians in the same location

Name Specialty Organization Address
Michael F Esposito Interventional Pain Management Tampa Pain Relief Center Inc 595 N Courtenay Pkwy, Suite 101, Merritt Island, FL 32953-4852
John D Weaver Certified Registered Nurse Anesthetist (crna) 595 N Courtenay Pkwy, Suite 103, Merritt Island, FL 32953-4852
Nidia Garcia Nurse Practitioner Tampa Pain Relief Center Inc 595 N Courtenay Pkwy, Suite 101, Merritt Island, FL 32953-4852
Patricia L Dunn Nurse Practitioner Tampa Pain Relief Center Inc 595 N Courtenay Pkwy, Suite 101, Merritt Island, FL 32953-4852
Amanda F Nolte Nurse Practitioner Tampa Pain Relief Center Inc 595 N Courtenay Pkwy, Suite 101, Merritt Island, FL 32953-4852
Roberta Lee Olsson Qualified Speech Language Pathologist Aquatic Health and Rehabilitation Services Inc 595 N Courtenay Pkwy, Suite 203, Merritt Island, FL 32953-4790
Nicole M Knights Physical Therapy Aquatic Health and Rehabilitation Services Inc 595 N Courtenay Pkwy, Suite 203, Merritt Island, FL 32953-4790
Caroline M Mahar Physical Therapy Aquatic Health and Rehabilitation Services Inc 595 N Courtenay Pkwy, Suite 203, Merritt Island, FL 32953-4790
Thaiduc Nguyen Anesthesiology Tampa Pain Relief Center Inc 595 N Courtenay Pkwy, Suite 101, Merritt Island, FL 32953-4852
Susan L Clark Nurse Practitioner Tampa Pain Relief Center Inc 595 N Courtenay Pkwy, Suite 101, Merritt Island, FL 32953-4852
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Physicians in the same zip code

Name Specialty Organization Address
John E Davenport Podiatry 1490 Polaris St, Merritt Island, FL 32953-3127
Robert English Clayton Ii Obstetrics/gynecology 231 Mcleod St, Merritt Island, FL 32953-3463
Daniel Cowling Optometry 495 N Courtenay Pkwy, Merritt Island, FL 32953-3485
Skyhawk Fadigan Family Medicine Health First Medical Group, LLC 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486
Ralph Rayner Cardiovascular Disease (cardiology) Health First Medical Group, LLC 255 Borman Dr, Merritt Island, FL 32953-3486
Hatice Foell Nurse Practitioner Health First Medical Group, LLC 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486
Victor Teofilo Perez Cardiovascular Disease (cardiology) Health First Medical Group, LLC 255 Borman Dr, Merritt Island, FL 32953-3486
Tiffany Alana Bonnell Nurse Practitioner Health First Medical Group, LLC 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486
Julieta Waldron Nurse Practitioner Health First Medical Group, LLC 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486
Khalid Sheikh Cardiovascular Disease (cardiology) Health First Medical Group, LLC 255 Borman Dr, Merritt Island, FL 32953-3486
Find all physicians in zip 32953

Competitor

Search similar physicians

City MERRITT ISLAND
Zip Code 32953
Specialty FAMILY MEDICINE
City + Specialty MERRITT ISLAND + FAMILY MEDICINE

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Dataset Information

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.

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