Active NPI
Ryan Thomas Fahy, DO
- Surgery Physician
- Tawas City, MI
National Provider Identifier
1073000238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- FF3311812
- Practice address
- 295 Maple St Ste 200
Tawas City, MI 48763-9352 - Phone
- (989) 362-0188
- Fax
- (989) 362-7171
- NPI assigned
- Apr 13, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | FF3311812 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
295 Maple St Ste 200
Tawas City, MI 48763-9352
Mailing address
4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Alabama College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 E Williams Ave
Fallon, NV 89406-3052
Phone (775) 423-3151
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Tawas | Current | Accepting new patients | |
| Mymichigan Medical Center West Branch | Current | Accepting new patients |
Locations
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
200 Hemlock Rd
Tawas City, MI 48763
Phone (989) 362-3411
200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153
2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660
Interoperability endpoints
- rfahy695036@direct.hfhs.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Fallon, NV
- NPI 1427314186
-
- Critical Access Hospital
- Fallon, NV
- NPI 1265811251
-
- General Acute Care Hospital
- Tawas City, MI
- NPI 1194713461
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tawas City, MI
- NPI 1194713461
-
- Family Medicine Physician
- West Branch, MI
- NPI 1518418292
Hospital
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
-
- Critical Access Hospital
- Fallon, NV
- NPI 1265811251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1073000238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 WELLNESS DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486702000",
"telephone_number": "844-832-1956",
"fax_number": "989-633-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 MAPLE ST STE 200",
"city": "TAWAS CITY",
"state": "MI",
"postal_code": "487639352",
"telephone_number": "989-362-0188",
"fax_number": "989-362-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHY",
"first_name": "RYAN",
"middle_name": "THOMAS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-13",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "FF3311812",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tawas City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.