John O. Fairey, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

11357 Issued in SC

Practice address

1301 Taylor St
Suite 1a
Columbia, SC 29201-2942

Phone

(803) 254-4591

Fax

(803) 931-8000

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Columbia Urological Associates, P.a.

  • Urology Physician
  • Columbia, SC
  • NPI 1558373597
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1245244342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 TAYLOR ST",
            "address_2": "SUITE 1A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012942",
            "telephone_number": "803-254-4591",
            "fax_number": "803-931-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TAYLOR ST",
            "address_2": "SUITE 1A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012942",
            "telephone_number": "803-254-4591",
            "fax_number": "803-931-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIREY",
        "first_name": "JOHN",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "11357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113576",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josneldavmatus Hunkin Faiivae, M.D.
• Joselyn Elise Fair, FNP
• David Faircloth
• Michael Alan Faircloth, D.O.
• Jessica Fairey, MS, CGC
• Abigail Fairfax, BCBA
• Chamarlyn Levelle Fairley, PHD
• Scott D Fairweather, LISW-CP, CAC-I
• Fajas of Columbia LLC
• Darin J Faller, DC

• Urology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.