NPIMap

Organization Active NPI

Fairfield Medical Associates, LLC

  • Family Medicine Physician
  • Lancaster, OH
National Provider Identifier
1740317981
Registry record updated Sep 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35065511 Issued in OH
Legal business name
FAIRFIELD MEDICAL ASSOCIATES, LLC
Doing business as
Fairfield Medical Associates
Practice address
1781 Countryside Dr.
Lancaster, OH 43130-1186
Phone
(740) 687-8600
Fax
(740) 689-6608
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2012

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

Authorized official

Name
Dr. Sarah J Alley, M.D.
Title
President
Phone
(740) 687-8377

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 35065511 OH Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 35076652 OH
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 35070728 OH

Addresses

Primary practice location

1781 Countryside Dr.
Lancaster, OH 43130-1186

Mailing address

1781 Countryside Dr.
Lancaster, OH 43130-1186
Phone (740) 687-8600

Other identifiers 2

IdentifierTypeStateIssuer
2399766MedicaidOH
DA4962OtherRAILROAD MEDICARE

Other names 1

  • Fairfield Medical Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346630400000",
    "number": "1740317981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 COUNTRYSIDE DR.",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301186",
            "telephone_number": "740-687-8600",
            "fax_number": "740-689-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 COUNTRYSIDE DR.",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301186",
            "telephone_number": "740-687-8600",
            "fax_number": "740-689-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-09-03",
        "status": "A",
        "authorized_official_last_name": "ALLEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-687-8377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35065511",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35076652",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35070728",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2399766",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA4962",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfield Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2012; 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.