Mary E Fairbanks, MD

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

29115 Issued in CO

Practice address

1783 15TH St
Denver, CO 80202-1888

Phone

(303) 532-1536

Fax

(303) 825-3397

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Columbia University College of Physicians and Surgeons, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bisbee Hospital AssociationGroup PAC ID 5092626168, shared by 4 NPIs, 69 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Chiricahua Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Elfrida, AZ
  • NPI 1457489890
  NPD
• Chiricahua Community Health Centers, Inc

  dba Business Office

  • Federally Qualified Health Center (FQHC)
  • Douglas, AZ
  • NPI 1942241443
  NPD
• Chiricahua Community Health Centers, Inc.

  dba Willcox Clinic

  • Federally Qualified Health Center (FQHC)
  • Willcox, AZ
  • NPI 1285488866
  NPD
• Catholic Health Initiatives Colorado

  dba CommonSpirit Orthopedics Longmont

  • Orthopaedic Surgery Physician
  • Longmont, CO
  • NPI 1891675294
  NPD (past)
• Everside Health, LLC

  dba Marathon Health, Denver CO- 15th St

  • Clinic/Center
  • Denver, CO
  • NPI 1689095572

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1457360406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 15TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021888",
            "telephone_number": "303-532-1536",
            "fax_number": "303-825-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 15TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021888",
            "telephone_number": "303-532-1536",
            "fax_number": "303-825-3397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Alcott St",
            "address_2": "STE 300",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800314008",
            "country_code": "US",
            "telephone_number": "303-429-1508",
            "fax_number": "303-429-2301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRBANKS",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "29115",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "29115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01291152",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyra Leigh Fainstad, M.D.
• Gary Allan Fair
• Tracy Fair, CAC III
• Erin Fairbairn
• Lane M Fairbairn, DO
• Sandra M Fairchild, RN
• Fairview Enterprise Inc
• Michael Faithe, PHARM.D.
• Sarah Falberg, RBT
• Anthony Falbo, MD

• Hospice and Palliative Medicine (Family Medicine) Physician in Denver, CO
• Providers in Denver, CO by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.