Organization Active NPI

Fairchild Family Medicine P.C.

  • Family Medicine Physician
  • Chesterfield, MI
National Provider Identifier
1760610083
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAIRCHILD FAMILY MEDICINE P.C.
Practice address
51086 Fairchild Rd
Chesterfield, MI 48051-1998
Phone
(586) 949-3064
Fax
(586) 949-4637
NPI assigned
Jun 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Vidyanand B Singh, M.D.NPI 1013928332
Title
Owner
Phone
(586) 949-3064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MI Primary

Addresses

Primary practice location

51086 Fairchild Rd
Chesterfield, MI 48051-1998

Mailing address

51086 Fairchild Rd
Chesterfield, MI 48051-1998
Phone (586) 949-3064

Other identifiers 1

IdentifierTypeStateIssuer
080E001310OtherMIBCBS GROUP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1760610083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51086 FAIRCHILD RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480511998",
            "telephone_number": "586-949-3064",
            "fax_number": "586-949-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51086 FAIRCHILD RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480511998",
            "telephone_number": "586-949-3064",
            "fax_number": "586-949-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRCHILD FAMILY MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "VIDYANAND",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-949-3064",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "080E001310",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.