NPIMap

Individual provider Active NPI

David G. Fairchild, M.D.

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1942229265
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
77411 Issued in MA
Practice address
55 Lake Ave N
Worcester, MA 01655-0002
Phone
(508) 334-2731
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 77411 MA Primary

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Illinois PLLC PastSince Jan 2, 2025 Accepting new patients
Brigham Community Practices Internal Medicine PastSince Jul 1, 2001 Accepting new patients
Minuteclinic Primary Care Maryland LLC PastSince Dec 5, 2024 Accepting new patients
Minuteclinic Primary Care Tennessee PLLC PastSince Dec 5, 2024 Accepting new patients
Virtual Primary Care PLLC Internal Medicine PastSince Nov 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC PastSince Sep 1, 2023 Accepting new patients
Minuteclinic Primary Care Ohio LLC PastSince Aug 1, 2025 Accepting new patients
Griffin Myers Medical, P.C. Internal Medicine PastSince Jun 28, 2024 Accepting new patients
Osh-Oh Physicians Group PC Internal Medicine PastSince Jun 28, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc PastSince Aug 1, 2023 Accepting new patients
Minuteclinic Primary Care New Jersey LLC PastSince Jul 16, 2025 Accepting new patients
Minuteclinic Primary Care Florida LLC PastSince Dec 11, 2024 Accepting new patients
Osh-VA Physicians Group PLLC Internal Medicine PastSince Jun 28, 2024 Accepting new patients
Minuteclinic Primary Care South Carolina LLC PastSince Dec 23, 2024 Accepting new patients
Tufts Medical Center, Inc. Past Accepting new patients
Oak Street Health Physicians Group of Alabama, LLC Internal Medicine PastSince Sep 2, 2024 Accepting new patients

Organizations & group practices 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1942229265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "DAVID",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "77411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.