Samuel Walton Fairbrother (NPI# 1346530284, PAC ID# 7911277926) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1346530284 |
| PAC ID by PECOS | 7911277926 |
| Professional Enrollment ID | I20180912001041 |
| Full Name | Samuel Walton Fairbrother |
| Organization Legal Name | RADIOLOGY ALLIANCE PC |
| Address |
1801 Ashley Cir Bowling Green KY 42104-3362 |
| Phone Number | 2707931000 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1850280470 |
| Number of Group Practice Members | 143 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440194 | TRISTAR HENDERSONVILLE MEDICAL CENTER |
| 440161 | TRISTAR CENTENNIAL MEDICAL CENTER |
| 440006 | TRISTAR SKYLINE MEDICAL CENTER |
| 440046 | TRISTAR HORIZON MEDICAL CENTER |
| 180124 | GREENVIEW REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2707931000 | RADIOLOGY ALLIANCE PC |
| 210 25th Ave N, Suite 602, Nashville, TN 37203-1631 | 6153120600 | RADIOLOGY ALLIANCE PC |
| Organization Legal Name | RADIOLOGY ALLIANCE PC |
| Physicians | 131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan H Sutcliffe | Diagnostic Radiology | Radiology Alliance PC | 7 Fancy Hl, Madbury, NH 03823-7505 |
| Jason Glen Meigs | Diagnostic Radiology | Radiology Alliance PC | 2821 N 50, Lehi, UT 84043-4091 |
| Daniel J Israel | Diagnostic Radiology | Radiology Alliance PC | 2105 Lancaster Rd, Birmingham, AL 35209-4207 |
| Abraham A Harari | Diagnostic Radiology | Radiology Alliance PC | 1567 S Roslyn St, Denver, CO 80231-2614 |
| Keiron T Kennedy | Diagnostic Radiology | Radiology Alliance PC | 6470 Pocahontas Ln, Hayes, VA 23072-3221 |
| Nausheen Naveed | Diagnostic Radiology | Radiology Alliance PC | 802 Ridgestone Ct, Peachtree City, GA 30269-6629 |
| Laura M Wike | Diagnostic Radiology | Radiology Alliance PC | 2517 N Cisco Ln, Boise, ID 83702-5502 |
| Jerome B Klein | Diagnostic Radiology | Radiology Alliance PC | 2121 E La Vieve Ln, Tempe, AZ 85284-3533 |
| Shwan Kim | Diagnostic Radiology | Radiology Alliance PC | 865 Deer Willow Ct, Thousand Oaks, CA 91320-5508 |
| Scott J Sullivan | Diagnostic Radiology | Radiology Alliance PC | 4 Dewart Rd, Greenwich, CT 06830-3417 |
| Street Address |
1801 ASHLEY CIR |
| City | BOWLING GREEN |
| State | KY |
| Zip | 42104-3362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan S Estes | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 1801 Ashley Cir, Bowling Green, KY 42104-3362 |
| Sara L Chou | Internal Medicine | Ashley Circle Inpatient Services LLC | 1801 Ashley Cir, Bowling Green, KY 42104-3362 |
| David Neyland | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 1801 Ashley Cir, Bowling Green, KY 42104-3362 |
| Gary M Howerton | Emergency Medicine | Drakes Creek Emergency Physicians LLC | 1801 Ashley Cir, Bowling Green, KY 42104-3362 |
| Zachary Simpson | Anesthesiology | Anesthesia Medical Group, P.C. | 1801 Ashley Cir, Bowling Green, KY 42104-3362 |
| Christa M Frost | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 1801 Ashley Cir, Bowling Green, KY 42104-3362 |
| Imran Hamid | Anesthesiology | Anesthesia Medical Group, P.C. | 1801 Ashley Cir, Bowling Green, KY 42104-3362 |
| Bryan Keith Powell | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 1801 Ashley Cir, Bowling Green, KY 42104-3362 |
| Holly Brant Mcgowan | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 1801 Ashley Cir, Bowling Green, KY 42104-3362 |
| Darren S Fentress | Internal Medicine | Ashley Circle Inpatient Services LLC | 1801 Ashley Cir, Bowling Green, KY 42104-3362 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam R Kesri | Internal Medicine | 6040 Scottsville Rd, Bowling Green, KY 42104-0388 | |
| Michael J Collins | Family Medicine | 1340 Ellis Pl, Bowling Green, KY 42104-0602 | |
| James R Farrage Jr. | Physical Medicine and Rehabilitation | 1725 Mcintosh St, Bowling Green, KY 42104-1037 | |
| Freda Y Hubbard | Nurse Practitioner | Greenview Primecare LLC | 730 Campbell Ln, Bowling Green, KY 42104-1039 |
| Joseph R Allen | Family Medicine | Greenview Primecare LLC | 746 Campbell Ln, Suite 101, Bowling Green, KY 42104-1039 |
| Haley G. Brewster | Nurse Practitioner | Greenview Primecare LLC | 746 Campbell Ln, Suite 101, Bowling Green, KY 42104-1039 |
| Trina Rena Warden | Optometry | Love and Warden Eye Care, Pllc | 1256 Campbell Ln, Suite 106, Bowling Green, KY 42104-1083 |
| Tammy H Love | Optometry | Love and Warden Eye Care, Pllc | 1256 Campbell Ln, Suite 106, Bowling Green, KY 42104-1083 |
| Brandon Michael Goodpaster | Chiropractic | Spine Stop Bowling Green Pllc | 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 |
| Darrell L Tade | Optometry | Precision Eye Care Professionals, Pllc | 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 |
| Find all physicians in zip 42104 | |||
| City | BOWLING GREEN |
| Zip Code | 42104 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BOWLING GREEN + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Samuel Walton Fairbrother.
| 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.