Colleen E Fairhurst, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.004744RX Issued in OH

Practice address

4275 Steels Pointe
Stow, OH 44224-6841

Phone

(330) 926-3495

Fax

(330) 926-5864

NPI assigned

Jul 14, 2016

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unity Health Network LLCGroup PAC ID 0244379717, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summa Health System Hospital, Akron, OH, CCN 360020

Merit-based Incentive Payment System (MIPS)

Final score

86.67 of 100Reported as group

Quality

77.19

Promoting interoperability

100

Improvement activities

40

Cost

78.37

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: colleen.fairhurst@wrhs.eclinicaldirectplus.com

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.

• Unity Health Network, LLC

  • Family Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1205169836
  Medicare reassignment Care Compare group NPD
• Unity Health Network, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tallmadge, OH
  • NPI 1114388352
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Summa Health System

  dba Summa Health System Ignatia Hall South

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1295036762

  Hospital

  Care Compare affiliation
• Summa Health System

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1396765681
  Care Compare affiliation
• Summa Health System

  • Clinical Medical Laboratory
  • Barberton, OH
  • NPI 1609263706

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1093168114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 STEELS POINTE",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246841",
            "telephone_number": "330-926-3495",
            "fax_number": "330-926-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 STEELS POINTE",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246841",
            "telephone_number": "330-926-3495",
            "fax_number": "330-926-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRHURST",
        "first_name": "COLLEEN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.004744RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evant Inc.
• Evant Inc.
• Eyetique Inc (Eyetique)
• Ez Care Transportation
• Brandon Ezzo
• Family and Individual Therapeutic Healing LLC
• Family Physicians of Stow Inc
• Stefanie Ann Farkas, BCBA
• Tracey L Febres, PT, DPT
• Tara C. Ferguson, CNP

• Medical Physician Assistant in Stow, OH
• Providers in Stow, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.

Verify at the official NPI Registry.