Carrie B Fairchild, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50003408 Issued in OH

Practice address

610 W Main St
Wilmington, OH 45177-2125

Phone

(937) 383-1040

NPI assigned

Feb 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Tomorrow Health LLC 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Greater Tomorrow Health, LLC

  • Urgent Care Clinic/Center
  • Wilmington, OH
  • NPI 1992230833

  OH

  Medicare reassignment Care Compare group Authorized official
• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083

  OH

  Medicare reassignment
• Advantage Care North America LLC

  • Urgent Care Clinic/Center
  • Monroe, OH
  • NPI 1689124513

  OH

  Medicare reassignment
• Emergency Physician Associates of Ohio, Inc

  • Emergency Medicine Physician
  • Wilmington, OH
  • NPI 1093059164

  OH

  Medicare reassignment
• Ohio Emergency Professionals Inc

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1982983425

  OH

  Medicare reassignment
• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  NPD (past)
• Erie Banks Emergency Physicians LLC

  • Emergency Medicine Physician
  • Willoughby, OH
  • NPI 1801105366

  Physician Assistant

  NPD (past)
• Monroe Family Medicine

  • Family Medicine Physician
  • Monroe, OH
  • NPI 1467119891
  NPD (past)
• Professional Emergency Specialists of Southern Ohio

  • Emergency Medicine Physician
  • Wilmington, OH
  • NPI 1356329890
  NPD (past)
• Professional Emergency Specialists of Southern Ohio

  • Emergency Medicine Physician
  • Dayton, OH
  • NPI 1639157175
  NPD (past)

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1346514973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931267",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441931484",
            "telephone_number": "937-383-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772125",
            "telephone_number": "937-383-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "CARRIE",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50003408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marie Therese Falgner
• Caitlyn Schlie Fannin, CNP
• Morgan Mackenzie Farley, DPT

• All providers in Wilmington, OH
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.