Organization Active NPI

The Fairfield Clinic P.C.

  • Family Medicine Physician
  • Fairfield, IA
National Provider Identifier
1659482388
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Jim A Buck, M.D.NPI 1841308533
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0168278MedicaidIA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.