Fairfield Healthcare Professionals, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAIRFIELD HEALTHCARE PROFESSIONALS, INC.

Doing business as

Baltimore Family Practice

Practice address

1055 W Market St
Suite H
Baltimore, OH 43105-1283

Phone

(740) 862-4183

Fax

(740) 862-3704

NPI assigned

May 25, 2006

Last updated

Mar 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lori B Parrish

Title

Office Manager

Phone

(740) 687-8343

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Baltimore Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Fairfield Healthcare Professionals Inc

  dba Southeastern Surgery

  • Surgery Physician
  • Lancaster, OH
  • NPI 1093730681

  O20031125000932

  Same enrollment
• Fairfield Healthcare Professionals Inc

  dba Fairfield Psychiatric Services

  • Psychiatry Physician
  • Lancaster, OH
  • NPI 1255372215

  O20031125000932

  Same enrollment
• Fairfield Healthcare Professionals Inc

  dba Hunter Trace Physicians

  • Family Medicine Physician
  • Lancaster, OH
  • NPI 1427086362

  O20031125000932

  Same enrollment
• Fairfield Healthcare Professionals Inc

  • Surgery Physician
  • Lancaster, OH
  • NPI 1457396368

  O20031125000932

  Same enrollment
• Fairfield Healthcare Professionals Inc

  dba Carroll Medical Office

  • Internal Medicine Physician
  • Carroll, OH
  • NPI 1871535112

  O20031125000932

  Same enrollment
• Fairfield Healthcare Professionals, Inc.

  dba Fairfield Medical Urgent Care

  • Urgent Care Clinic/Center
  • Lancaster, OH
  • NPI 1700334182

  O20031125000932

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Ohio Physical Medicine & Rehabilitation, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lancaster, OH
  • NPI 1356525919

  Member Of

  NPD member

Locations

Practitioners 53

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.

• Alissa V Ackelson, MD

  • Infectious Disease Physician
  • Lancaster, OH
  • NPI 1881814796
  NPD (past)
• Sarah Ball

  • Nurse Practitioner
  • Millersport, OH
  • NPI 1447807904
  NPD (past)
• Amy Nancy Jean Belott, PA-C

  • Surgical Physician Assistant
  • Lancaster, OH
  • NPI 1821455080
  NPD (past)
• Kathryn Lynne Bland, CNP

  • Family Nurse Practitioner
  • Chillicothe, OH
  • NPI 1811670417
  NPD (past)
• Megan S. Brown, APRN.CNP

  • Nurse Practitioner
  • Columbus, OH
  • NPI 1851956874
  NPD (past)
• Jeremy Buckley, M.D.

  • Cardiovascular Disease Physician
  • Lancaster, OH
  • NPI 1720106248
  NPD (past)
• Emily Ellen Burnette, D.O

  • Obstetrics & Gynecology Physician
  • Lancaster, OH
  • NPI 1588927834
  NPD (past)
• Steven D. Cox, M.D.

  • Surgery Physician
  • Lancaster, OH
  • NPI 1245214303
  NPD (past)
• John Duffy Dewalt, D.O.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Logan, OH
  • NPI 1508869702
  NPD (past)
• Dylan Louis Ekstrand, DO

  • Family Medicine Physician
  • Amanda, OH
  • NPI 1497259386
  NPD (past)
• Jonathan Robert Forquer, D.O.

  • Cardiovascular Disease Physician
  • Lancaster, OH
  • NPI 1396977385
  NPD (past)
• Julia Anne Foster, CNP

  • Family Nurse Practitioner
  • Lancaster, OH
  • NPI 1700130580
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1174579791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056",
            "telephone_number": "740-687-8990",
            "fax_number": "740-687-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 W MARKET ST",
            "address_2": "SUITE H",
            "city": "BALTIMORE",
            "state": "OH",
            "postal_code": "431051283",
            "telephone_number": "740-862-4183",
            "fax_number": "740-862-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD HEALTHCARE PROFESSIONALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-687-8343",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153462",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CD3781",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baltimore Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Bruestle
• Susan Kay Calvertkayc, M.A. CCC SLP
• Kendra Crago
• Christopher Duve
• Richard P Dychala, O.D.
• From Ashes We Rise LLC
• Gaddis Family Dental LLC
• Joshua W Gaddis, DDS
• Kimmi Sue Gaffney
• Fawn Hall

• Family Medicine Physician in Baltimore, OH
• Providers in Baltimore, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.