Fairfax Medical P.a.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

2010604214 Issued in DE

Legal business name

FAIRFAX MEDICAL P.A.

Practice address

2105 Concord Pike
Suite a
Wilmington, DE 19803-2906

Phone

(302) 654-5000

NPI assigned

Aug 6, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Edward H Murphy

Title

Authorized Representative

Phone

(302) 655-1704

Specialties & licenses 1

Addresses

Other names 1

• Doctors Express Wilmington Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terri C Murphy

  • Mental Health Counselor
  • Wilmington, DE
  • NPI 1023683489
  NPD

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1235443854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "MONTCHANIN",
            "state": "DE",
            "postal_code": "197100283",
            "telephone_number": "302-655-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 CONCORD PIKE",
            "address_2": "SUITE A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032906",
            "telephone_number": "302-654-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX MEDICAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "302-655-1704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "DE",
            "license": "2010604214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Express Wilmington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Thomas Facciolo, D.M.D.
• Raymond Facciolo Jr., DPT
• Heather C Fackelman
• William Fader, FNP
• Lynn M Fahey
• Debra Faith, RN
• Emelynn Joanne Fajardo, D.O.
• Olalekan David Falade, PHARM.D
• Nicole Falasco, DPT
• Stephen J. Falchek, MD

• Urgent Care Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Urgent Care Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.