Organization Active NPI

Gwella Rheumatology

Doing business as Fairfield Healthcare Professionals

  • Rheumatology Physician
  • Lancaster, OH
National Provider Identifier
1477740801
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
GWELLA RHEUMATOLOGY
Doing business as
Fairfield Healthcare Professionals
Practice address
618 Pleasantville Rd
Suite 201
Lancaster, OH 43130-3312
Phone
(740) 689-6408
Fax
(740) 689-6409
NPI assigned
Oct 1, 2007
Last updated
Apr 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Mrs. Lori B Parrish
Title
Office Manager
Phone
(740) 687-8095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

618 Pleasantville Rd
Suite 201
Lancaster, OH 43130-3312

Mailing address

1153 E Main St
Lancaster, OH 43130-4056
Phone (740) 687-8343

Other identifiers 2

IdentifierTypeStateIssuer
CD3781OtherOHMEDICARE RAILROAD
0153462MedicaidOH

Other names 1

  • Fairfield Healthcare Professionals Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2141437Fairfield Healthcare Professionals618 Pleasantville Road, Lancaster, OH 43130Certificate of waiverDec 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Fairfield Healthcare Professionals Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1477740801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056",
            "telephone_number": "740-687-8343",
            "fax_number": "740-687-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PLEASANTVILLE RD",
            "address_2": "SUITE 201",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303312",
            "telephone_number": "740-689-6408",
            "fax_number": "740-689-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWELLA RHEUMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-687-8095",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "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": "Fairfield Healthcare Professionals",
            "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 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.