NPIMap

Organization Active NPI

Fairfield ER Physicians Dba Fairfield Medical Center Pro Fee

  • Emergency Medicine Physician
  • Lancaster, OH
National Provider Identifier
1942233879
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
FAIRFIELD ER PHYSICIANS DBA FAIRFIELD MEDICAL CENTER PRO FEE
Practice address
Fairfield Emergency Room Physicians
401 N Ewing Street
Lancaster, OH 43130
Phone
(740) 687-8100
NPI assigned
Jul 7, 2006
Last updated
Jun 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Dr. Michele Decoste
Title
Medical Director/Emergency Room
Phone
(740) 687-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

Fairfield Emergency Room Physicians
401 N Ewing Street
Lancaster, OH 43130

Mailing address

P.O. Box 713464
Fairfield Medical Center Pro Fee Billing
Lancaster, OH 45271-3464
Phone (513) 281-4400

Other identifiers 1

IdentifierTypeStateIssuer
4939179MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Lancaster Fairfield Com3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

401 N Ewing St
Rm Physicians
Lancaster, OH 43130
Phone (740) 687-8100

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1942233879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 713464",
            "address_2": "FAIRFIELD MEDICAL CENTER PRO FEE BILLING",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "452713464",
            "telephone_number": "513-281-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAIRFIELD EMERGENCY ROOM PHYSICIANS",
            "address_2": "401 N EWING STREET",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "43130",
            "telephone_number": "740-687-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD ER PHYSICIANS DBA FAIRFIELD MEDICAL CENTER PRO FEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "DECOSTE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/EMERGENCY ROOM",
        "authorized_official_telephone_number": "740-687-8101",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4939179",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.