Fairway Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

FAIRWAY PEDIATRICS LLC

Practice address

7020 Highway 190
Suite C
Covington, LA 70433-4954

Phone

(985) 871-7337

Fax

(985) 871-7600

NPI assigned

Jun 18, 2006

Last updated

Aug 22, 2020By 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

Dr. Kathryn Quarls, M.D.NPI 1831125236

Title

Administrating Physician

Phone

(985) 871-7337

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

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.

• Kathryn Quarls, M.D.

  • Pediatrics Physician
  • Covington, LA
  • NPI 1831125236
  NPD (past) Authorized official
• William Brian Britton, M.D.

  • Pediatrics Physician
  • Covington, LA
  • NPI 1215964937
  NPD (past)
• Kelsey Quarls Egan, MD

  • Pediatrics Physician
  • Mandeville, LA
  • NPI 1508325796
  NPD (past)
• Richard Peter Kelt III

  • Student in an Organized Health Care Education/Training Program
  • Metairie, LA
  • NPI 1376987131
  NPD (past)
• Sharon Lilly, M.D.

  • Pediatrics Physician
  • Covington, LA
  • NPI 1265469852
  NPD (past)
• Taylor Maestri, APRN-CNP

  • Pediatric Nurse Practitioner
  • Covington, LA
  • NPI 1316629744
  NPD (past)
• Wintress Blyth McCormick, LPN, CBC

  • Lactation Consultant (Non-RN)
  • Covington, LA
  • NPI 1760115901
  NPD (past)
• Nancy Mula, M.D.

  • Pediatrics Physician
  • Covington, LA
  • NPI 1386670818
  NPD (past)
• Cynthia Voelker, M.D.

  • Pediatrics Physician
  • Covington, LA
  • NPI 1306876917
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245275809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 HIGHWAY 190",
            "address_2": "SUITE C",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334954",
            "telephone_number": "985-871-7337",
            "fax_number": "985-871-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 HIGHWAY 190",
            "address_2": "SUITE C",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334954",
            "telephone_number": "985-871-7337",
            "fax_number": "985-871-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUARLS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "ADMINISTRATING PHYSICIAN",
        "authorized_official_telephone_number": "985-871-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1947377",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad Matthew Fabre, FNP-C
• Fairway Imaging, LLC (Premier MRI 4 U)
• Fairway Medical Center, LLC (Avala)
• Fairway Medical Center, LLC (Avala)
• Fairway Medical Urgent Care LLC
• Allison Falcone, N.P.
• McCayn McDaniel Familia
• Mallory Anne Fandal, MA PBA, BCABA
• Matthew Farnet, DPT
• Bryan Alan Farrar, RN

• Pediatrics Physician in Covington, LA
• Providers in Covington, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.