Sarah Lynn Faaborg, MD
Individual provider Active NPI Internal Medicine Physician · Missoula, MT
NPI 1386809101 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1386809101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- LL18166 (OR)
- Practice address
- 323 E Front St
Missoula, MT 59802-4715 - Phone
- (406) 317-4800
- Fax
- (406) 416-4800
- NPI assigned
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Washington School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain Internal Medicine, PLLC
Practice addresses (Care Compare)
323 E Front St
Missoula, MT 59802-4715
Phone (406) 531-9650
Hospital & facility affiliations
- Partners in Home Care Inc
- Community Medical Center
- St. Patrick Hospital
- Bitterroot Health - Daly Hospital
- St Luke Community Hospital
- Providence St Joseph Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 13 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110830000783 | MT | Practitioner - Internal Medicine | 0345410338 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL18166 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Internal Medicine, PLLC | Internal Medicine | Current |
Accepting new patients |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533
2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850
2831 Fort Missoula Rd
Ste 102
Missoula, MT 59804
Phone (406) 327-3819
323 E Front St
Missoula, MT 59802
Phone (406) 317-4800
2831 Fort Missoula Rd
Ste 1PM
Missoula, MT 59804
Phone (406) 728-6557
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL18166 | OR | Yes |
Addresses
Primary practice location
323 E Front St
Missoula, MT 59802-4715
Mailing address
323 E Front St
Missoula, MT 59802-4715
Phone (406) 317-4800
NPI Registry JSON
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1386809101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 E FRONT ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024715",
"telephone_number": "406-317-4800",
"fax_number": "406-416-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 E FRONT ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024715",
"telephone_number": "406-317-4800",
"fax_number": "406-416-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAABORG",
"first_name": "SARAH",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2023-09-11",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "LL18166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.