NPIMap

Organization Active NPI

Fairfield Medical Associates, PC

  • Rural Health Clinic/Center
  • Fairfield, VA
National Provider Identifier
1609959188
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FAIRFIELD MEDICAL ASSOCIATES, PC
Practice address
33 Red Hill Rd
Fairfield, VA 24435-0405
Phone
(540) 377-2156
Fax
(540) 377-9476
NPI assigned
Oct 20, 2006
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Dr. Thomas Stuart Peck, MDNPI 1871557181
Title
Owner
Phone
(540) 377-2156

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
Rural Health Clinic/Center 261QR1300X VA Primary

Addresses

Primary practice location

33 Red Hill Rd
Fairfield, VA 24435-0405

Mailing address

PO Box 405
33 Red Hill Road
Fairfield, VA 24435-0405
Phone (540) 377-2156

Other identifiers 1

IdentifierTypeStateIssuer
7610025MedicaidVA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCABAA

Practitioners & affiliated clinicians

Practitioners 2

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1609959188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "address_2": "33 RED HILL ROAD",
            "city": "FAIRFIELD",
            "state": "VA",
            "postal_code": "244350405",
            "telephone_number": "540-377-2156",
            "fax_number": "540-377-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 RED HILL RD",
            "city": "FAIRFIELD",
            "state": "VA",
            "postal_code": "244350405",
            "telephone_number": "540-377-2156",
            "fax_number": "540-377-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-377-2156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7610025",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.