John J Fath, MD

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

4301051219 Issued in MI

Practice address

18101 Oakwood Blvd
Dearborn, MI 48124-4089

Phone

(313) 982-5440

NPI assigned

Aug 18, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Critical Care Surgeons PLLC

  • Trauma Surgery Physician
  • Detroit, MI
  • NPI 1710213731
  NPD (past)
• Oakwood Group IX, LLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1720050917

  Surgical Critical Care

  NPD (past)
• Oakwood Youth Programs, LLC

  • Physical Medicine & Rehabilitation Physician
  • Dearborn, MI
  • NPI 1790959120
  NPD (past)
• University of Toledo Physicians LLC

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1942296033
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013909837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 GLENDALE AVE",
            "address_2": "3RD FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142426",
            "telephone_number": "419-383-7146",
            "fax_number": "419-383-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-982-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATH",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "4301051219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465852010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUSBSTANCE",
            "identifier": "4301051219",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Farkas, PMHNP-BC
• Farmington Laser Eye Center
• Mohamed Farrag, PHD
• Kathryn Farrugia
• Olivia Marie Farrugia
• Fatima Health Care,P.C.
• Faulkner-Waterworks PC
• Alfred M Faulkner, DO
• Sarah Anne Faunt, FNP-C
• Lauren Elizabeth Favazza, PA-C

• Surgical Critical Care Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Surgical Critical Care Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.