Organization Active NPI

Fairfield Medical Center LLP

  • Family Medicine Physician
  • Cypress, TX
National Provider Identifier
1538504196
Registry record updated Jan 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAIRFIELD MEDICAL CENTER LLP
Practice address
15040 Fairfield Village Square Dr
Ste 150
Cypress, TX 77433-5952
Phone
(281) 304-5100
Fax
(281) 304-5191
NPI assigned
May 8, 2013
Last updated
Jan 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2018

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

Authorized official

Name
Dr. Jennifer S Kwak, MDNPI 1427045145
Title
Managing Partner
Phone
(281) 304-5100

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

15040 Fairfield Village Square Dr
Ste 150
Cypress, TX 77433-5952

Mailing address

15040 Fairfield Village Square Dr Ste 150
Cypress, TX 77433-7901
Phone (281) 304-5100

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
45D1014255Fairfield Medical Center LLP15040 Fairfield Village Square Drive, Suite 150, Cypress, TX 77433Provider-performed microscopySep 8, 2027

National Provider Directory

National Provider Directory

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": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515801600000",
    "number": "1538504196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15040 FAIRFIELD VILLAGE SQUARE DR STE 150",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337901",
            "telephone_number": "281-304-5100",
            "fax_number": "281-304-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15040 FAIRFIELD VILLAGE SQUARE DR",
            "address_2": "STE 150",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335952",
            "telephone_number": "281-304-5100",
            "fax_number": "281-304-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD MEDICAL CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2018-01-13",
        "status": "A",
        "authorized_official_last_name": "KWAK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "281-304-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2018; 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.