Raynard Fabianke, Medical Clinic of Red Bay

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RAYNARD FABIANKE, MEDICAL CLINIC OF RED BAY

Practice address

209 Hospital Rd
Red Bay, AL 35582-3858

Phone

(256) 356-9511

Fax

(256) 356-9339

NPI assigned

Oct 23, 2006

Last updated

Sep 30, 2013By 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

Monica Copeland

Title

Billing Manager

Phone

(256) 532-1888

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Raynard G. Fabianke, M.D.

  • Family Medicine Physician
  • Red Bay, AL
  • NPI 1851387575
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1770666992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355820429",
            "telephone_number": "256-356-9511",
            "fax_number": "256-356-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HOSPITAL RD",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355823858",
            "telephone_number": "256-356-9511",
            "fax_number": "256-356-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYNARD FABIANKE, MEDICAL CLINIC OF RED BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "256-532-1888"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CM2749",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven M Nabers, DO
• Ralph Marion Nix, D.D.S.
• Norman Family Health Center, P.C.
• Victor D Norman, M.D.
• Stephen Douglas Ray, D.D.S.
• Red Bay Hospital Outpatient Clinic
• Red Bay Opco LLC (RedBay Nursing and Rehab Center)
• Red Bay Pharmacy, LLC.
• Redmont Pharmacy
• Redmont Pharmacy

• Family Medicine Physician in Red Bay, AL
• Providers in Red Bay, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.