Shan R Fairbanks (NPI# 1003202847, PAC ID# 8921388521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1003202847 |
| PAC ID by PECOS | 8921388521 |
| Professional Enrollment ID | I20180227000607 |
| Full Name | Shan R Fairbanks |
| Organization Legal Name | PATIENT FIRST RICHMOND MEDICAL GROUP PLLC |
| Address |
2304 W Mercury Blvd Hampton VA 23666-3115 |
| Phone Number | 7579511579 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 9931011434 |
| Number of Group Practice Members | 249 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6311 Richmond Hwy, Alexandria, VA 22306-6410 | 7036476087 | PATIENT FIRST RICHMOND MEDICAL GROUP PLLC |
| 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 7579511579 | PATIENT FIRST RICHMOND MEDICAL GROUP PLLC |
| 601 Potomac Station Dr, Leesburg, VA 20176-1816 | 7038401396 | PATIENT FIRST RICHMOND MEDICAL GROUP PLLC |
| Organization Legal Name | PATIENT FIRST RICHMOND MEDICAL GROUP PLLC |
| Physicians | 310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie A Crawford | Family Medicine | Patient First Richmond Medical Group Pllc | 6311 Richmond Hwy, Alexandria, VA 22306-6410 |
| Bridget A Baidoo | Physician Assistant | Patient First Richmond Medical Group Pllc | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 |
| Kene H Ukeje | General Practice | Patient First Richmond Medical Group Pllc | 2304 W Mercury Blvd, Hampton, VA 23666-3115 |
| Nicol Lynn Schwandt | Physician Assistant | Patient First Richmond Medical Group Pllc | 9715 Liberia Ave, Manassas, VA 20110-5837 |
| Jon B Geno | Nurse Practitioner | Patient First Richmond Medical Group Pllc | 47100 Community Plz, Suite 100, Sterling, VA 20164-1821 |
| Natasha R Prymak | Nurse Practitioner | Patient First Richmond Medical Group Pllc | 2199 Old Bridge Rd, Woodbridge, VA 22192-2911 |
| Piya K Barkley | Family Practice | Patient First Richmond Medical Group Pllc | 1260 Temple Ave, Colonial Heights, VA 23834-2984 |
| Khurram N Ali | Family Medicine | Patient First Richmond Medical Group Pllc | 14800 Lee Hwy, Gainesville, VA 20155-1842 |
| Ahmad S Baray | Family Medicine | Patient First Richmond Medical Group Pllc | 3918 Centreville Rd, Chantilly, VA 20151-3224 |
| Phillip D Granger | Physician Assistant | Patient First Richmond Medical Group Pllc | 601 Potomac Station Dr, Leesburg, VA 20176-1816 |
| Street Address |
2304 W MERCURY BLVD |
| City | HAMPTON |
| State | VA |
| Zip | 23666-3115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kene H Ukeje | General Practice | Patient First Richmond Medical Group Pllc | 2304 W Mercury Blvd, Hampton, VA 23666-3115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry L Rothfuss | Internal Medicine | 303 Butler Farm Rd, Suite 103, Hampton, VA 23666-1568 | |
| Tiffany N Jefferson | Clinical Social Worker | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Melody Blanco | Nurse Practitioner | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Charlena Cuffee | Clinical Social Worker | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| John D Ogram | Psychiatry | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Lisa M Kelleher | Nurse Practitioner | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Peter Smith | Psychiatry | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Saphia Beckles | Nurse Practitioner | Hampton Newport News Community Services Board | 400 Medical Dr A, Hampton, VA 23666-1767 |
| Brenda J Williams | Clinical Social Worker | Hampton Newport News Community Services Board | 400 Medical Dr A, Hampton, VA 23666-1767 |
| Ashraful Huq | Psychiatry | Hampton Newport News Community Services Board | 400 Medical Dr A, Hampton, VA 23666-1767 |
| Find all physicians in zip 23666 | |||
| City | HAMPTON |
| Zip Code | 23666 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | HAMPTON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Shan R 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.