Active NPI
The Fairfield Clinic P.C.
- Family Medicine Physician
- Fairfield, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- THE FAIRFIELD CLINIC P.C.
- Practice address
- 2000C S Main St
Fairfield, IA 52556-9572 - Phone
- (641) 472-4141
- Fax
- (641) 469-3516
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jim A Buck, M.D.
- Title
- Sr. Partner
- Phone
- (641) 472-4141
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IA | Primary |
Addresses
Primary practice location
2000C S Main St
Fairfield, IA 52556-9572
Mailing address
2000C S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0168278 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
304 S Maple St
Fairfield, IA 52556
Phone (641) 472-4141
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.
-
- Family Medicine Physician
- Fairfield, IA
- NPI 1841308533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407888000000",
"number": "1659482388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000C S MAIN ST",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525569572",
"telephone_number": "641-472-4141",
"fax_number": "641-469-3516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000C S MAIN ST",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525569572",
"telephone_number": "641-472-4141",
"fax_number": "641-469-3516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FAIRFIELD CLINIC P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2014-08-13",
"status": "A",
"authorized_official_last_name": "BUCK",
"authorized_official_first_name": "JIM",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SR. PARTNER",
"authorized_official_telephone_number": "641-472-4141",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0168278",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.