John a. Fabre, MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD028273E Issued in PA

Legal business name

JOHN A. FABRE, MD PC

Practice address

529 Sunflower Dr
Du Bois, PA 15801-2378

Phone

(814) 371-2390

Fax

(814) 371-9532

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

John A Fabre, MD

Title

Owner

Phone

(814) 371-2390

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1972614014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 SUNFLOWER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012378",
            "telephone_number": "814-371-2390",
            "fax_number": "814-371-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 SUNFLOWER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012378",
            "telephone_number": "814-371-2390",
            "fax_number": "814-371-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. FABRE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "FABRE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-371-2390",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD028273E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "342682",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DH1374",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1310535",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009047150001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Irene Jacobson, BCBA
• Michelle Evelyn Jacobson, CRNP
• Jawahar Suvarnakar, MD Inc.
• Dawn Renee Jeannerat, NP
• Tabatha L. Jeffers
• John E. Dubois III D C
• John Roberts Enterprises
• Denise Johnson
• Madison H Johnson
• Richard E Johnson, DO

• Ophthalmology Physician in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.