Active NPI
Patrick J Fahey, MD
- Family Medicine Physician
- Columbus, OH
National Provider Identifier
1083677355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35039496
- Practice address
- 2231 North High Street
Columbus, OH 43201 - Phone
- (614) 293-2700
- Fax
- (614) 293-2720
- NPI assigned
- Apr 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35039496 | OH | Primary |
Addresses
Primary practice location
2231 North High Street
Columbus, OH 43201
Mailing address
700 Ackerman Rd Ste 2120660
Columbus, OH 43202-1559
Phone (614) 293-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0371164 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pfahey359@direct.osumc.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35039496 | OH | MD | Family Medicine Physician |
Interoperability endpoints
- pfahey359@direct.osumc.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1083677355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120660",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-2700",
"fax_number": "614-293-2720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 NORTH HIGH STREET",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43201",
"telephone_number": "614-293-2700",
"fax_number": "614-293-2720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHEY",
"first_name": "PATRICK",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35039496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0371164",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pfahey359@direct.osumc.edu",
"affiliation": "N",
"address_1": "2231 North High Street",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "43201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.