Fairway Medical Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

FAIRWAY MEDICAL URGENT CARE LLC

Practice address

70340 Highway 21 Ste a
Covington, LA 70433-7119

Phone

(985) 809-8989

NPI assigned

Nov 18, 2008

Last updated

Nov 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Guzan

Title

Ceo

Phone

(985) 801-3010

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fairway Medical Center, LLC

  dba Avala

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1851487086

  Member Of

  NPD member

Practitioners 25

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.

• Jeffrey J. Andry Sr., MD

  • Adult Medicine Physician
  • Covington, LA
  • NPI 1841267382
  NPD (past)
• Adrian J Baudy IV, MD

  • Nephrology Physician
  • New Orleans, LA
  • NPI 1154555654
  NPD (past)
• C Clay Craighead III, M.D.

  • Vascular Surgery Physician
  • Morgan City, LA
  • NPI 1689634453
  NPD (past)
• William J Curran, MD

  • Emergency Medicine Physician
  • Metairie, LA
  • NPI 1619066719
  NPD (past)
• Darryl Arlton Driggs, MD

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1154520773
  NPD (past)
• Frederick William Floyd, D.O.

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1962448464
  NPD (past)
• John P Gavin, M.D.

  • Emergency Medicine Physician
  • Baton Rouge, LA
  • NPI 1720167893
  NPD (past)
• Nichole Guillory George, MD/MPH

  • Family Medicine Physician
  • Marrero, LA
  • NPI 1477843753
  NPD (past)
• Brian A Heise, MD

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1679547038
  NPD (past)
• Theodore A. Irra, MD

  • Emergency Medicine Physician
  • Metairie, LA
  • NPI 1104879253
  NPD (past)
• Latonya Renae Kelly, M.D.

  • Family Medicine Physician
  • Opelousas, LA
  • NPI 1063430213
  NPD (past)
• Terrence Lenoir Mathers, M.D.

  • Internal Medicine Physician
  • Mandeville, LA
  • NPI 1386670891
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1669627626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2223",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704702223",
            "telephone_number": "985-809-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70340 HIGHWAY 21 STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337119",
            "telephone_number": "985-809-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY MEDICAL URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "GUZAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-801-3010"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyewear Society, Inc
• Brad Matthew Fabre, FNP-C
• Fairway Imaging, LLC (Premier MRI 4 U)
• Fairway Medical Center, LLC (Avala)
• Fairway Medical Center, LLC (Avala)
• Fairway Pediatrics LLC
• Allison Falcone, N.P.
• McCayn McDaniel Familia
• Mallory Anne Fandal, MA PBA, BCABA
• Matthew Farnet, DPT

• Urgent Care Clinic/Center in Covington, LA
• Providers in Covington, LA by specialty
• Urgent Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.