Organization Active NPI

Sally L. Fabec, M. D.

  • Internal Medicine Physician
  • Trinidad, CO
National Provider Identifier
1356542971
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SALLY L. FABEC, M. D.
Practice address
328 S Bonaventure Ave
Suite 5
Trinidad, CO 81082-2086
Phone
(719) 846-4433
Fax
(719) 846-8350
NPI assigned
May 30, 2007
Last updated
Aug 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Sally Linda Fabec, M.D.NPI 1427093111
Title
M.D. Owner
Phone
(719) 846-4433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

328 S Bonaventure Ave
Suite 5
Trinidad, CO 81082-2086

Mailing address

328 S Bonaventure Ave
Suite 5
Trinidad, CO 81082-2086
Phone (719) 846-4433

National Provider Directory

National Provider Directory

Locations

134 W Main St
Ste 11
Trinidad, CO 81082
Phone (719) 846-4433

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1356542971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 S BONAVENTURE AVE",
            "address_2": "SUITE 5",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822086",
            "telephone_number": "719-846-4433",
            "fax_number": "719-846-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S BONAVENTURE AVE",
            "address_2": "SUITE 5",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822086",
            "telephone_number": "719-846-4433",
            "fax_number": "719-846-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY L. FABEC, M. D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "FABEC",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "M.D. OWNER",
        "authorized_official_telephone_number": "719-846-4433",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinidad, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.