NPIMap

Organization Active NPI

Fairchild Healthcare Services LLC

  • Anesthesiology Physician
  • Miami, FL
National Provider Identifier
1063791200
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
FAIRCHILD HEALTHCARE SERVICES LLC
Practice address
7875 SW 104TH St
Ste 201
Miami, FL 33156-2642
Phone
(305) 270-7572
NPI assigned
Aug 5, 2011
Last updated
Oct 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Philip Grossman, MD
Title
Member Manager
Phone
(305) 270-7572

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

7875 SW 104TH St
Ste 201
Miami, FL 33156-2642

Mailing address

PO Box 864702
Orlando, FL 32886-0001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1063791200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864702",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328860001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 SW 104TH ST",
            "address_2": "STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562642",
            "telephone_number": "305-270-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRCHILD HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "305-270-7572",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.