NPIMap

Organization Active NPI

Fairfield Healthcare Professionals Inc

Doing business as Carroll Medical Office

  • Internal Medicine Physician
  • Carroll, OH
National Provider Identifier
1871535112
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FAIRFIELD HEALTHCARE PROFESSIONALS INC
Doing business as
Carroll Medical Office
Practice address
82 East Canal St
Carroll, OH 43112
Phone
(740) 756-4589
Fax
(740) 756-4876
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Lori Parrish
Title
Office Manager
Phone
(740) 687-8343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

82 East Canal St
Carroll, OH 43112

Mailing address

PO Box 2563
Lancaster, OH 43130-5563
Phone (740) 687-8343

Other identifiers 2

IdentifierTypeStateIssuer
CD3781OtherOHMEDICARE RAILROAD
0153462MedicaidOH

Other names 1

  • Carroll Medical Office Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031125000932 OH Part B Supplier - Clinic/Group Practice 4789596362 Receives reassigned benefits from 173 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Amanda, OH; New Lexington, OH; Millersport, OH; Logan, OH; Lancaster, OH; Canal Winchester, OH

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1871535112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2563",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431305563",
            "telephone_number": "740-687-8343",
            "fax_number": "740-687-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 EAST CANAL ST",
            "city": "CARROLL",
            "state": "OH",
            "postal_code": "43112",
            "telephone_number": "740-756-4589",
            "fax_number": "740-756-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD HEALTHCARE PROFESSIONALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-687-8343"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CD3781",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153462",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carroll Medical Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carroll, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.