Individual provider Active NPI

James B Fanning Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Wallingford, CT
National Provider Identifier
1023022282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
034475 Issued in CT
Practice address
185 Center St
Suite H
Wallingford, CT 06492-4100
Phone
(203) 284-1060
Fax
(203) 284-3161
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 034475 CT Primary

Addresses

Primary practice location

185 Center St
Suite H
Wallingford, CT 06492-4100

Mailing address

747 Wallingford Rd
Cheshire, CT 06410-2914
Phone (203) 699-1637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000935 CT Practitioner - Obstetrics/Gynecology 8729269253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Boston University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

185 Ctr St
Suite H
Wallingford, CT 06492-4100
Phone (203) 284-1060

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034475CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Women'S Health LLC Obstetrics & Gynecology CurrentSince Jul 1, 2012 Accepting new patients
Helm & Helm, P.C. Obstetrics & Gynecology PastSince Jul 1, 2012 Accepting new patients

Locations

22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

455 Lewis Ave
Ste 201
Meriden, CT 06451
Phone (203) 238-4488

435 Lewis Ave
Ste 212
Meriden, CT 06451
Phone (203) 238-0519

435 Lewis Ave
#201
Meriden, CT 06451
Phone (203) 238-4488

185 Center St
Wallingford, CT 06492
Phone (203) 265-3770

185 Center St
Ste H
Wallingford, CT 06492
Phone (203) 284-1060

Interoperability endpoints

  • Direct secure messaging: james.fanning.1@10170.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023022282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 WALLINGFORD RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102914",
            "telephone_number": "203-699-1637",
            "fax_number": "203-284-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CENTER ST",
            "address_2": "SUITE H",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924100",
            "telephone_number": "203-284-1060",
            "fax_number": "203-284-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "034475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.