James Clarke Fairfield, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD018193E Issued in PA

Practice address

12 N Evergreen Dr
Litchfield, ME 04350-3020

Phone

(262) 456-9720

NPI assigned

May 23, 2005

Last updated

Nov 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Montgomery Dermatology

  • Dermatology Physician
  • Lansdale, PA
  • NPI 1083685739
  NPD (past) Authorized official
• Dermatology and Cosmetic Surgery Institute, PC

  • MOHS-Micrographic Surgery Physician
  • Fort Washington, PA
  • NPI 1043485600

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1861495061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N EVERGREEN DR",
            "city": "LITCHFIELD",
            "state": "ME",
            "postal_code": "043503020",
            "telephone_number": "262-456-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N EVERGREEN DR",
            "city": "LITCHFIELD",
            "state": "ME",
            "postal_code": "043503020",
            "telephone_number": "262-456-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRFIELD",
        "first_name": "JAMES",
        "middle_name": "CLARKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "60705 - 20",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD018193E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Adams, M.S. CCC-SLP
• Matthew Alan Bendele
• Bill Gordon's Transportation
• Kayla Marie D'Amour, COTA/L
• Mildred N Donahue, L.C.S.W.
• Korynne E French, LCSW
• Harmony M Lattin, PHMNP
• Bruce Allan Letsch, PHD
• Litchfield School Department (School Union 44)
• Elana Nelson, COTA/L

• Dermatology Physician in Litchfield, ME
• Providers in Litchfield, ME by specialty
• Dermatology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.