Fairhope Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD27544 Issued in AL

Legal business name

FAIRHOPE FAMILY MEDICINE, LLC

Practice address

21875 State Highway 181
Fairhope, AL 36532

Phone

(251) 928-1442

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Regan Mary Andrade, MDNPI 1851370266

Title

Owner

Phone

(251) 928-1442

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGHDAA

Practitioners 4

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.

• Regan M Andrade, MD

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1851370266
  Authorized official Same address or phone
• Norman Bruce Blaum, DMD

  • Dentist
  • Fairhope, AL
  • NPI 1215922992
  NPD (past)
• Kristin B Kalmbacher, M.D.

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1053355743
  NPD (past)
• Margaret Claire Meyers, MD

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1912096777
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1821151093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21875 STATE HIGHWAY 181",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321265",
            "telephone_number": "251-928-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21875 STATE HIGHWAY 181",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-928-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRHOPE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "REGAN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-928-1442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD27544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1851370266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairhope Cosmetic and Family Dentistry, PC
• Fairhope Cosmetic Dentistry and Fresh Beath Center
• Fairhope Dental Associates LLC
• Fairhope Dentistry, PC
• Fairhope Eye and Laser Center, LLC
• Fairhope Gastroenterology, LLC
• Fairhope Health & Rehab, LLC (Fairhope Health & Rehab)
• Fairhope Health & Wellness Center (Healing Touch Chiropractic)
• Fairhope Internal Medicine PC
• Fairhope Modern Dental, PC

• Family Medicine Physician in Fairhope, AL
• Providers in Fairhope, 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 12, 2012; 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.