Justin Michael Fabish, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY1633 Issued in FL

Practice address

5200 State St
Saginaw, MI 48603-3713

Phone

(989) 793-6138

NPI assigned

Sep 27, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Ear Institute PLLCGroup PAC ID 5597735514, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21058/brand/1/csg/1/fhir/r4

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.

• Michigan Ear Institute PLLC

  • Otolaryngology Physician
  • Farmington Hills, MI
  • NPI 1568575215
  Medicare reassignment Care Compare group NPD
• Saginaw Valley Family Care, PLLC

  dba Saginaw Valley Family Care

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1992270870
  NPD (past)

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1215246236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033713",
            "telephone_number": "989-793-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033713",
            "telephone_number": "989-793-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABISH",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1633",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Expected to Care LLC
• Eye Care Specialists of Michigan
• Eye Care Specialists of Michigan, PLLC
• Chinonye Eze
• Katelynn M Ezell
• Sophia Monique Facundo
• Evelyn Issam Fadel, MD
• Travis Fader
• Jamal Fadhel, M.D.
• Crystal L Fadipe

• Audiologist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.