John T Fahey

MD | Pediatric Cardiology | Male

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Complete Profile:

John T Fahey basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	John T Fahey
Credential :	MD
Gender :	Male

Business Address:

John T Fahey 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 :	20 York St, Ynhh (children's) West Pavilion 2nd Floor New Haven, CT, 06510-3220 United States
Phone Number :	203-785-4081
Fax Number :	203-737-2786

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 :	1851374086
NPI Entity Type :	Individual
First Enrolment Date :	22 Nov, 2005
Last Updated On :	01 Jul, 2008

Medicare Participation:

John T Fahey participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9638204951
Medicare Enrollment ID :	I20100311000838
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1979
Accepts Medicare?	Yes. John T Fahey accepts medicare insurance.

Group Practice Association:

John T Fahey 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 John T Fahey 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
Yale University	9436061736	2186	1 Park St New Haven, CT - 065048901 Ph: 2037854081	Yes
Yale University	9436061736	2186	20 York St New Haven, CT - 065103220	Yes
Yale University	9436061736	2186	800 Howard Ave New Haven, CT - 065191369 Ph: 2037852140	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 John T Fahey are as mentioned. Primary taxonomy code for John T Fahey, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	024404	CT

Legacy Identifiers:

Other legacy medical identifiers of John T Fahey such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
001244045	MEDICAID	CT

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 :	Po Box 9805, 300 George Street 6th Floor New Haven, CT, 06536-0805 United States

Business Location:

Patients can refer following map for directions to John T Fahey practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.