Douglas a Fairbairn Mdllc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24649 Issued in CO

Legal business name

DOUGLAS A FAIRBAIRN MDLLC

Practice address

6816 Otis St
Arvada, CO 80003-4067

Phone

(303) 559-1111

Fax

(303) 420-9349

NPI assigned

Nov 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas Aumiller Fairbairn, MD

Title

Owner

Phone

(303) 559-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua S Zucker, NP

  • Gerontology Nurse Practitioner
  • Aurora, CO
  • NPI 1851398184
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1013087055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 S GARRISON ST",
            "address_2": "101",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802272282",
            "telephone_number": "303-988-1559",
            "fax_number": "303-988-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 OTIS ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800034067",
            "telephone_number": "303-559-1111",
            "fax_number": "303-420-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A FAIRBAIRN MDLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "FAIRBAIRN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "AUMILLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-559-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "24649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91232830",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Dooley, RN
• Cynthia Dore
• Abigail M Dorn, CCC-SLP
• Nicole Dorotik, MD
• Jade Morgan Doucet
• Altaves Gerod Douglas
• Mark Douglass
• Nicole M Dovey
• Katherine Dowdy, LPC
• Downtowns Health Care LLC

• Family Medicine Physician in Arvada, CO
• Providers in Arvada, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.