Michael J Fay, M.D.
Individual provider Active NPI Specialist · Glasgow, MT
NPI 1831127828 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831127828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 6963 (MT)
- Practice address
- 621 3Rd St S
Glasgow, MT 59230-2604 - Phone
- (406) 228-4331
- Fax
- (406) 228-9539
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6963 | MT | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6963 | MT | Yes |
Addresses
Primary practice location
621 3Rd St S
Glasgow, MT 59230-2604
Mailing address
621 3Rd St S
Glasgow, MT 59230-2604
Phone (406) 228-4331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092651 | Medicaid | MT |
Other providers in Glasgow, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.