Active NPI
Patrick Hugh Fairley, MD
- Emergency Medicine Physician
- Westlake, OH
National Provider Identifier
1841247673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35053640F
- Practice address
- 29000 Center Ridge Rd
Westlake, OH 44145-5293 - Phone
- (440) 835-8000
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35053640F | OH | Primary |
Addresses
Primary practice location
29000 Center Ridge Rd
Westlake, OH 44145-5293
Mailing address
26930 Lake Rd
Bay Village, OH 44140-2267
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0673016 | Medicaid | OH | |
| 942460636247 | Other | OH | CARESOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35053640F | OH | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841247673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26930 LAKE RD",
"city": "BAY VILLAGE",
"state": "OH",
"postal_code": "441402267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29000 CENTER RIDGE RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455293",
"telephone_number": "440-835-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRLEY",
"first_name": "PATRICK",
"middle_name": "HUGH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35053640F",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0673016",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "942460636247",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.