Active NPI
Ruaidhri Seosamh O'Fathaigh, MD
- Internal Medicine Physician
- Salem, VA
National Provider Identifier
1639497852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.070689
- Practice address
- 1970 Roanoke Boulevard
Salem Veteran Affairs Medical Center
Salem, VA 24153-6404 - Phone
- (540) 982-2463
- Fax
- (540) 983-1049
- NPI assigned
- May 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.070689 | OH | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35.070689 | OH | |
| Pulmonary Disease Physician | 207RP1001X | 35.070689 | OH |
Addresses
Primary practice location
1970 Roanoke Boulevard
Salem Veteran Affairs Medical Center
Salem, VA 24153-6404
Mailing address
22 Kingston Road
Galway, IRELAND 00000
IE
Phone 011353876188984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0307126 | Medicaid | OH |
Other names 1
- Dr. Ruairi Joseph Fahy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.070689 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio State University - Cap | Internal Medicine | Past | Accepting new patients |
| Osu Internal Medicine, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1669047924
-
- Endoscopy Clinic/Center
- Dublin, OH
- NPI 1427127919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273622400000",
"number": "1639497852",
"addresses": [
{
"country_code": "IE",
"country_name": "Ireland",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "22 KINGSTON ROAD",
"city": "GALWAY",
"state": "IRELAND",
"postal_code": "00000",
"telephone_number": "011353876188984",
"fax_number": "01135314103549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 ROANOKE BOULEVARD",
"address_2": "SALEM VETERAN AFFAIRS MEDICAL CENTER",
"city": "SALEM",
"state": "VA",
"postal_code": "241536404",
"telephone_number": "540-982-2463",
"fax_number": "540-983-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'FATHAIGH",
"first_name": "RUAIDHRI",
"middle_name": "SEOSAMH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-12",
"last_updated": "2010-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.070689",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OH",
"license": "35.070689",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35.070689",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0307126",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RUAIRI",
"last_name": "FAHY",
"middle_name": "JOSEPH",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.