Organization Active NPI

Fairfield Internal Medicine, Inc

  • Internal Medicine Physician
  • Lancaster, OH
National Provider Identifier
1801992706
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FAIRFIELD INTERNAL MEDICINE, INC
Practice address
135 N Ewing St Ste 305
Lancaster, OH 43130-3379
Phone
(740) 681-9447
Fax
(740) 681-9966
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Johnny J Abidin, MD
Title
President
Phone
(740) 681-9447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

135 N Ewing St Ste 305
Lancaster, OH 43130-3379

Mailing address

135 N Ewing St Ste 305
Lancaster, OH 43130-3379
Phone (740) 681-9447

Other identifiers 1

IdentifierTypeStateIssuer
2152683MedicaidOH

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1801992706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N EWING ST STE 305",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303379",
            "telephone_number": "740-681-9447",
            "fax_number": "740-681-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N EWING ST STE 305",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303379",
            "telephone_number": "740-681-9447",
            "fax_number": "740-681-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD INTERNAL MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "ABIDIN",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-681-9447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2152683",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 12, 2007; 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.