James B Fahner

MD | Pediatric Hematology-Oncology | Male

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Complete Profile:

James B Fahner basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	James B Fahner
Credential :	MD
Gender :	Male

Business Address:

James B Fahner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	100 Michigan St Ne, Mc 85 Grand Rapids, MI, 49503-2560 United States
Phone Number :	616-391-2653
Fax Number :	616-391-8873

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1245201383
NPI Entity Type :	Individual
First Enrolment Date :	27 Jan, 2006
Last Updated On :	08 Mar, 2021

Medicare Participation:

James B Fahner participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9931196557
Medicare Enrollment ID :	I20040427000590
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Michigan Medical School
Graduation Year :	1983
Accepts Medicare?	Yes. James B Fahner accepts medicare insurance.

Group Practice Association:

James B Fahner is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which James B Fahner is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Spectrum Health Hospitals	8921904764	121	100 Michigan Ave Ne Grand Rapids, MI - 495032560 Ph: 6163911774	Yes
Spectrum Health Hospitals	8921904764	121	100 Michigan St Northeast Grand Rapids, MI - 495032560 Ph: 6163911774	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for James B Fahner are as mentioned. Primary taxonomy code for James B Fahner, MD is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	4301049486	MI

Legacy Identifiers:

Other legacy medical identifiers of James B Fahner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
1104104512	Other	MI	BCBSM
2571143	MEDICAID	MI

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	100 Michigan St Ne, Mc 85 Grand Rapids, MI, 49503-2560 United States

Business Location:

Patients can refer following map for directions to James B Fahner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.