Organization Active NPI

Fairfield Healthcare Professionals Inc

Doing business as Hunter Trace Physicians

  • Family Medicine Physician
  • Lancaster, OH
National Provider Identifier
1427086362
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAIRFIELD HEALTHCARE PROFESSIONALS INC
Doing business as
Hunter Trace Physicians
Practice address
216 Trace Dr
Lancaster, OH 43130-4151
Phone
(740) 654-6300
Fax
(740) 654-0106
NPI assigned
Jun 29, 2006
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Lori Parrish
Title
Manager
Phone
(740) 687-8499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

216 Trace Dr
Lancaster, OH 43130-4151

Mailing address

PO Box 2563
Lancaster, OH 43130-5563
Phone (740) 687-8499

Other identifiers 2

IdentifierTypeStateIssuer
CD3781OtherOHMEDICARE RAILROAD
0153462MedicaidOH

Other names 1

  • Hunter Trace Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031125000932 OH Part B Supplier - Clinic/Group Practice 4789596362 Receives reassigned benefits from 173 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Amanda, OH; New Lexington, OH; Millersport, OH; Logan, OH; Lancaster, OH; Canal Winchester, OH

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

216 Trace Dr
Lancaster, OH 43130
Phone (740) 277-6043

Practitioners & affiliated clinicians

Practitioners 5

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1427086362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2563",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431305563",
            "telephone_number": "740-687-8499",
            "fax_number": "740-687-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 TRACE DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304151",
            "telephone_number": "740-654-6300",
            "fax_number": "740-654-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD HEALTHCARE PROFESSIONALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "740-687-8499"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CD3781",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153462",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hunter Trace Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.