Donald Wiltz Fabacher Jr., M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.205089 Issued in LA

Practice address

8231 Jefferson Hwy
Harahan, LA 70123-4617

Phone

(504) 500-8125

NPI assigned

Mar 19, 2010

Sex

Male

Sole proprietor

Yes

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.

• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428

  LA

  Medicare reassignment NPD
• Fabacher Health, LLC

  • Primary Care Clinic/Center
  • Harahan, LA
  • NPI 1992158331
  NPD (past) Authorized official
• Ochsner Clinic LLC

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1689146219
  NPD
• New Orleans Urgent Care L.L.C.

  • Urgent Care Clinic/Center
  • New Orleans, LA
  • NPI 1619028164
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in LA

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2016.

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1598089591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231464",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701831464",
            "telephone_number": "504-500-8125",
            "fax_number": "504-552-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8231 JEFFERSON HWY",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701234617",
            "telephone_number": "504-500-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABACHER",
        "first_name": "DONALD",
        "middle_name": "WILTZ",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.205089",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "29012",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.139477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eckerd Youth Alternatives, Inc. Dba Eckerd Connects
• Ehs Corp.
• Charles Elliott
• Elmwood Behavioral Health LLC
• Fabacher Health, LLC
• Paige Fairchild
• Families Helping Families of Jefferson
• Valerie Kilgore Faneca
• Christopher Fasone, LCSW
• Alexis Fernandez, PLPC

• All providers in Harahan, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.